Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0016 ANTHONY DRIVE
P Town of Barnstable Building Department - 200 Main Street 9 LE. • Hyannis, MA 02601 16 - �b,,rFo��a. (508) 862 4038 Certificate of Occupancy Application Number: 200803385 CO Number: 20080268 Parcel ID: 272002003 CO Issue Date: 03113109 Location: 16 ANTHONY DRIVE Zoning Classification: SPLIT ZONING Proposed Use: SINGLE FAMILY HOME Village: HYANNIS Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: FAMILY APT ISSUED TO BILLIEJO HUFFMAN - MOTHER PHYLLIS HUFFMAN TO Building Department Signature Date Signed I oFIMET , TOWN OF BARNSTABLE Buildhig Application Ref: 200803385 BARNSTABLE, Issue Date: 06/24/OS Permit 9 MASS QpAr�O 9. A�� Applicant: GONZALEZ,ROBERT Permit Number: B 20081306 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/22/08 Location 16 ANTHONY DRIVE Zoning District SPLTPermit Type: FAMILY APT W/CONSTRUCTION Map Parcel 272002003 Permit Fee$ 153.00 Contractor GONZALEZ,ROBERT. Village _.:HYANNIS App Fee$ .00 License Num Est Construction Cost$ 30,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ATT GARAGE 15 1/2 X 32,ONE BEDROOM,BATH&KITCHEN/MOT ER THIS CARD MUST BE KEPT POSTED UNTIL FINAL PHYLLIS HUFFMAN- 1024 SQUARE FEET-SEE 200802747 FOR APPRgV INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner'on Record: HUFFAM, BILLIEJO BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 16 ANTHONY DR INSPECTION HAS BEEN MADE. . HYANNIS, MA 02601 pai Application Entered by: PR Building Permit Issued By; THIS PERMITCONVEYS NORIGHT'TO OCCUPY ANYSTREET;"ALLY:OR SIDEWALK OR ANY PART THEREOF;EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS.ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED'UNDER THE BUILDING'.CODE,MUST.BE APPROVED BY THE-JURISDICTION: STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE.OBTAINED FROM THE DEPARTMENT OF.PUBLIC WORKS"` THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE;THE APPLICANT FRONT THE CONDITIONS OF ANY APPLICABLE SUBDIVISION;RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME_ INSPECTION. - 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND.MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). ¢ y„�r mom a BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 C.W IAS46� / n9Zy� 2' L 2 � , S � Y Y 3 e rl O I/ 1 Heating Inspection Approvals Engineering Dept Fire Dept 3 G` �� 2 Board of Health -� - 01 tNE � TOWN OF BARNSTABLEBuilding Application Ref: 200803385 • BARNSTABLE, Issue Date: 06/24/08 Permit MASS. 9�A i639• Applicant: PROPERTY OWNER rF0 MAC A Permit Number: B 20081306 Proposed Use: SINGLE FAMILY HOME . Expiration Date: 12/22/08 Location 16 ANTHONY DRIVE Zoning District SPLTPermit Type: FAMILY APT W/CONSTRUCTION Map Parcel" 272002003 Permit Fee$ 153.00 Contractor -PROPERTY OWNER Village HYANNIS App Fee$ .00 License Num OWNER Est Construction Cost$ 30,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ATT GARAGE 15 1/2 X 32, ONE BEDROOM,BATH&KITCHEN/MOT ER.THIS CARD MUST BE KEPT POSTED UNTIL FINAL PHYLLIS HUFFMAN 1024 SQUARE FEET-SEE 200802747 FOR APPR V INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: HUFFAM, BILLIEJO BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 16 ANTHONY DR INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: PR Building Permit Issued By: THIS'PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK ORANY PART THEREOF;EITHER TEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY;NOT SPECIFICALLY PERMITTED UNDER THE"BUILDINGGODE,MUST BE APPROVED BY THE,JURISDICTION. STREET.OR ALLY GRADES AS WELL AS DEPTH AND.LOCATION,OF PUBLIC SEWERS'MAYBE OBTAINEDTROM THE DEPARTMENT OF PUBLIC WORKS THEISSUANCE OF,THIS PERMIT DOES NOT.RELEASE.THE.APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE`SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). �p "I 0M "AN 11 a ® o BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ly _. 3 1 Heating Inspecti Approvals Engineering Dept Fire Dept 2 Board of Health 13 - 6 3 q 3 r ti } a 00 CN AI 1 )! V[1 C cc u 16 Anthony Drive, Hyannis 10/28/08 a E 'w • 66 r m, LiLk f . , E 16 Anthony Drive, Hyannis 10/28/08 fd 47 a 4 k 4 16 Anthony Drive, Hyannis 10/28/08 a Ve 1 16 Anthony Drive, Hyannis 10/28/08 1 t 1r et . 16 Anthony Drive, Hyannis 10/28/08 `F k. fy r Af Ilk 41 4 '1 16 Anthony Drive, Hyannis. 10/28/08 a F � # �k x� ti A „ x o � 16 Anthony Drive, Hyannis 10/28/08 i f i+ S t lk 16 Anthony Drive, Hyannis 10/28/08 pt£a Now- j 16 Anthony Drive, Hyannis 10/28/08 I I - w � +. 16 Anthony Drive, Hyannis 10/28/08 vKevin Burke Secretary A ThomasG. nr P.E. Commissioner ��Q/X�IJOeGGZ��e2 Gr/l?C���%Z�7 / 6 Gary Moccia,P.E. Deval L.Patrick Chairman Governor o oQ/� n —1 Stanley Shuman,P.E. Timothy P:Murray Vice Chairman .Lieutenant Governor Thomas Perry 367 Main Street Wednesday,July 08,2009 'Hyannis MA 02601 NOTICE OF HEARING Complainant• Miguel&Billiejo Huffam 16 Anthony Drive Hyannis MA 02601 a Registrant/Contractor ROBERT GONZALEZ �. 31 CENTER STREET ^�� ' MASHPEE MA 02649 Registrant's HIC/CSL#: - / 95214 x Subject Property Address: 16 Anthony Drive Hyannis MA 01 Complaint Number: 2009-138 Hearing Date and Time: 8/13/2009 10:00 AM Greetings: Pursuant to 780 CMR 110.R5 and/or 110.R6, a hearing will beheld based upon the information contained in the above referenced-complaint. Your attendance at the hearing is mandatory. The hearing will take place before a hearing officer at the office of the Department of Public Safety, One Ashburton Place,Boston,MA at the above noted date and time. Please report directly to the hearing room on the second floor overlooking the main lobby. (Go through the double doors after exiting the second floor elevator and take a left). The hearing will be held in order to determine whether administrative action should be taken against the registrant's Home Improvement Contractor registration and/or Construction Supervisor's License. Violations of the law or regulations which are substantiated at the hearing could result in the imposition of a suspension,revocation,or reprimand of the registration and/or license, and the assessment of a fine. The complainant must be prepared to present evidence to support the allegations described in their complaint. The registrant/licensee has the right to be represented by an attorney at the hearing and may present written and oral testimony and any other relevant evidence to mitigate the claims made against them. Any party may present witnesses with relevant information in support of their case. The complete complaint file is available for review, upon reasonable notice and at a mutually convenient time, at the offices of the Department of Public Safety during regular business hours. r 0 A<C'AJ All requests for information or motions must be addressed to the following address and shall be in writing with a copy provided to all parties: Department of Public Safety ATTN: Hearing Officer One Ashburton Place,Room 1301 Boston,MA 02108 Telephone calls relative to pending cases will only be returned in cases of emergency. Due to the great number of complaints being processed through the program,a hearing date will only be continued under extraordinary circumstances. Any motion to continue a date shall be made in writing at least ten(10)days prior to the hearing date. All parties must bring proper identification to the hearing. Construction Supervisor's Licensees and Home Improvement Contractors must bring their license and/or registration to the hearing. Thank you for your anticipated cooperation. Very truly yours, BOARD OF BUILDING REGULATIONS AND STANDARDS + 4 a ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION- Map a-7 ;a/,Parcel On a- 6 • 0 0� Application# Health Division ✓ ate Issued. Conservation Division Application Fee Tax Collector Permit Fee Treasurer �. Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village i Owner ?)- `_ye )C� (�I'�� r"1 Address �P Telephone Permit Request— ®tb, /- ' �4P77 FOP, 0TUC-P%-, POD LL S V SF Square feet: 1 st floor:existing -)3 R proposed 2nd floor:existing proposed Total new Zoning District 9,14t�/aC Flood Plain Groundwater Overlay ProjectiV luation-3 , � Construction Type r Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. r p Dwelling Type: Single Family a/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 2110 On Old King's Highway: ❑Yes Basement Type: a ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing J_ new Total Room Count(not including baths):existing 3 new First Floor Room Count`; ' Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other �� N µre •.� o ya. Central Air: ❑Yes �'No Fireplaces: Existing New Existing wool, al stove❑YV ❑No Detached garage:❑existing size Pool:❑existing ❑new size Barn:❑ ixisting ne4size Attached garage:❑existing /0new size �4$D sot` Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use --- - - _ - Proposed Use BUILDER INFORMATION " N� ame ---�' Telephone Number_ �SO F 0 c Address -=� t- License# 9 a )2 _C i Q-C W\iQ,. Q Home Improvement Contractor# /67a 63 Worker's Compensation# Wl� b o2(UO 17( f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO fie, UC5-)e JOChqWMeA UR z DATE all P , h FOR OFFICIAL USE ONLY ;APPLICATION# 1 . DATA ISSUED f - LI. MAP/PARCEL NO. ADDRESS VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME y� INSULATION 6 ce -- FIREPLACE I ELECTRICAL: ROUGH FINAL 17 PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL t FINAL BUILDING t DATE CLOSED OUT ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . ' d 600 Washington Street Boston,.MA 02111 www.mass.gov/dia - Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): (Toracsi2,2, Cz66h'Vubrn Address: AP girls City/State/Zip: Phone.#: Are you an employer?Check the appropriate box: Type of project(required): 1111 am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction 2Xemployees(full and/or part-time).* , I am a sole proprietor or partner- listed on the attached sheet._ 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.t 9. uilding addition required.] 5. ❑ We are a corporation and its 10. Electrical repairs or additions 3.❑ I am homeowner doing all work officers have exercised their I LF1 Plumbing repairs or additions m self. o workers'com . right of exemption per MGL Y P 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. M 3 57 4y it Expiration Date: 3 61 Job Site Address: City/State/Zip: i Attach a copy of the workers' compensa on policy declaration page(showing the policy nu�expiration date). P Y P ) Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against-the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage.verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si ature: Date: Phone#: Official use only. Do not write in this area,.to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I ; Information and Instructions ' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"..:every person in the service of another under any contract of hire, express or.implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not roduced_acce table evidence of com liance with the insurance coverage required." PP P P P Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation.affidavit completely;by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),addres-s(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial . Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in _(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A newzffidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia y va 67 76o7nnzaiuuea`C o� czc�uia�lr~6 ° ' Board of Building Regulations and Standards Construction Supervisor License r License N CS 95214 t Birthdate 3/12/1978 f i f Ezn o rat 3; x p 3/12L2010 Tr# °95214 Rest.ictton OOy ROBERT GONZALEZ 31 CENTER STREET MASHPEE,MA 02649 t Commissioner F ; J, "�yNHy `�'�7/"C�ZQ9Z(�P' •, ai'r LLUWCGC�L(CQQ/! t( 6 �'' :7-.� -.a - s bard o Building Reguh, .,hons and Standards =1 ,., ' HOME IMPROVEMENT`CONTRACTOR License or registration valid for ir,,dvidut use only :. before the expiration date If found return to. r Registration 1152637 Bo?rd of Build n a Expiration i g Reg141ations anu.Standards # 9/18/2008 One Ashburtofi Pl ee dim 1301 j rTYP MBA Boston,Ma.02108 1f r GONZALEZ CONgjk,(j TION ROBERT GONZA E S;R` _ F MASHPEE MA�264�9�� '� `beputvAdmiu shator. .. Not;v3lhdwitl,nutsign 'e: y � +ETati Town of Barnstable Regulatory Services t saxMAT,►. Thomas F.Geiler,Director 94ii0rE 39. & Building Division Tom Perry,Building Commissioner - 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section ' If Using A Builder I, as Owner of the subject property hereby authorizer///� �( ; ;�,�� Z• to act on my behalf, in all matters relative to work authorized by this building permit application for. Ankwcf(ir hi 0�._. � - (Addres of Job) R Signa Date Pnnt If Property Owner is applying for permit please.complete the Homeowners License Exemption Form on the reverse side. ' Q:FORMS:O WNERPERMISSION Town of Barnstable �Op THE tp� Regulatory Services BARNSPABLE Thomas F.Geiler,Director MASS. 039. s`�� Building Division rED � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone#. work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under'the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official + Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:fornu:homeexempt 3.4) AFYC Grrirle to IVood Co1lslaictloll hi fla It 1Viml Areas: .1101replr Winrl Zorte Massachusetts Checklist for C0111E�liai7ce (7so c;•1—Z 5301.2.1.1)1 Check Compliance 1.1 SCOPE .... 110 mph Wind Speed 3-sec. gust)...............................:......:.!......................... ............................................ P ( 9 ) WindExposure Category...................................... ........................... ....................................I........................B Wind Exposure Category................Engineering Required For Entire Project .......................................C - 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) a. stories <2 stories RoofPitch ........................:..................................................(Fig 2) ........................................". /6� <_ 12:12 !� MeanRoof Height ..............................................................(Fig 2)..................................................� ft <33' BuildingWidth, W ...............................................................(Fig 3)................................................ Ig'yft <_80' BuildingLength, L ..............................................................(Fig 3)...:.............................................3a ft s 80' r/ Building Aspect Ratio(L/W) ...............................................(Fig 4).................................................%�-,-44r*!< :1 Nominal Height of Tallest Opening ...................................(Fig 4).................................................1�-- 1.3 FRAMING CONNECTIONS y General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 �- Concrete.............................................................................................................................. ConcreteMasonry..................•..7............................................. ................................................................ �Cd 2.2 ANCHORAGE TO FOUNDATION1'3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only BoltSpacing-general ..........................................(Table 4)............................................... 3Q, in. Bolt Spacing from end/joint of plate .............................(Fig 5 ..........................-.......-V_in. <6"-12" v Bolt Embedment-concrete.........................................(Fig 5)...... .............................................:&in.>7" Bolt Embedment-mason .....................(Fig5 ..............................#4 in.>_ 151r � PlateWasher................................................................(Fig 5)....,........................................:>_3"x 31 x'/<" 3.1 FLOORS z_--- Floor framing member spans checked ...............................(per 780 CMR Chapter 55):............:...................2 Maximum Floor Opening Dimension.................. ...... . ...... (Fig 6).................................�..........�ft<_ 12' v. Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall (Fig 6)......:................................ rK�• Maximum_Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall.........:......(Fig 7).......:.......:.................................... ft 5 d. L/ Maximum Cantilevered Floor Joists_ Supporting Loadbearing Walls or Shearwall............. (Fig 8);....................................................eft <-d FloorBracing at.Endwalls....................................................(Fig 9)...........................................:.':' ........... ...... Floor Sheathing Type ........................................................(per 780 CMR•Chapter 55).............. LSl°©. ....in Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)........:..............� in. . Floor Sheathing Fastening..................................................(Table 2).. d nails at_min edge/_Win field 4.1 WALLS Wall Height S — Loadbearing walls........................................................(Fig 10 and Table 5)......,.........._.........�ft _ 10' � Non-Loadbearing walls................................................(Fig 10 and Table 5)............................1 eft <20' C/ Wall Stud Spacing ........................................................(Fig 10 and-Table 5)................... in. 15 24"o.c. v- Wall Story Offsets . .....................(Figs 7&8)...............................................aft <d 4.2 EXTERIOR WALLS Wood Studs L/ Loadbearing Walls........................................................(Table 5)...............................2x ft in. T_ Non-Loadbearing walls ................................:...............(Table 5)..............................2x.. -Z ft 1�_in. r✓ Gable End Wall Bracing' Full Height Endwall Studs..:........... (Fig 10)........................ ................................:....... WSP-Attic Floor Length..._.............:......:.......................(Fig 11)............................................. /_C'ft>_0/3 1ft'0`9W Gypsum CeilingLength(if WSP not used)...................(Fig 11)............................................ and 2.x 4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig 11)................................................. ............ �� or 1 x 3 ceiling furring strips @ 16 spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays_2� Double Top Plate Splice Length ........................................................(Fig 13 and Table 6).................................... ft !/ Splice Connection (no.of 16d common nails)..............(Table 6).......................................................... Current Use Proposed Use ti• 7 L . f A1VC Guide to Wood Corrstructioal in flitjh I'Villd.,h,eas: 110 mph 141, d%nc Massachusetts Checklist for Compliance (780 c'\1R5301.2.1.1)' - Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)....................................................... v'Z Non-Loadbearing Wall Connections Lateral (no. of 16d common nails)..............................(Table 8)....................................................... a Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans .......................................................(Table 9)................................../V ft 7 in. s 11' Sill Plate Spans ........................................................(Table 9)..................................-�L ft in. s 11' Full Height Studs (no.of studs)....................................(Table 9)....................................................... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9).: �ft................................ in. 12' V SillPlate Spans..,. .......,.....................:.........................(Table 9)..................................x2,ft? 5 in. 5 12" Full I WHeight Studs(no.of studs)....................................(Table 9).............'...........:.............................. C� Exterior all Sheathing to Resist Uplift and Shear Simultaneously4 . Minimum Building Dimension, W V Nominal Height of Tallest Opening2 ��<6'8" !i Sheathing Type.................................... ( ) �....._.. D�... . _ Edge Nail Spacing................. Table 10 or,note 4 if less)........................ in. y Field Nail Spacing..........................................(Table 10)...............:..................................... �in. Shear Connection (no.of 16d common nails)(Table 10).......:.............................................. ec : ..oZ Percent Full-Hht Sheathing................... ...(Table 10)......................................;............. 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts).............'Vp�, a/^ Maximum Building Dimension, L Nominal Height of Tallest Openingz.:....................................................................... <6 g^ Sheathing Type..............................................(note 4)................. Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................1, in. Field Nail Spacing.......................................:..(Table 11)...................,............................. _10�_in. Shear Connection(no. of 16d common nails)(Table 11)....................................................... Percent Full-Height Sheathing........................(Table 11).,...................................................,3 % 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Wall Cladding Ratedfor Wind Speed?.............................................................. ..............................................:................ 5.1 ROOFS Roof framing member.spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website)' Roof Overhang ...................................................(Figure 19) ............. I ft—<smaller of 2'or V3 ei Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors V. Uplift................................................(Table 12)............................................U=,g2?j?�pif G� Lateral.............................................(Table 12).................................'............L= 176plf e_ ' Shear........................ . . ..................(Table 12)............................:.....:.........S=_V plf Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...........:...................T=M6 plf t� Gable Rake Outlooker..........................................(Figure 20) .............=Q ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14).. .......................... ...............U= - lb. Lateral(no. of 16d common nails)...(Table 14)...................... ................L= lb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) . 71i;•..6yo�cf �/ Roof Sheathing Thickness........................................... . ............................. ::. in. >_7/16"WSP Roof Sheathing Fastening............................................(Table 2).......lp�... .........:................ Notes: , 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.530.1.2.1.1 Item 1. If the checklist-is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception: Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. i r ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY F OR ONE- AND TWO-FAMILY DETACHED RE'SIDENTIAL'CONSTRUCTION (780 CMR cr.00) Applicant Name: � D .��� Site Address: print Town: Applicant Phone: SOW- .S1 C) - I I Applicant Signature: Date of Application: - NEW CONSTRUCTION: choose ONE Wf the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Basement Slab Option 1: Fenestration exposed Wall Floor. Perimeter U-factor floors R-Value R-Value Wall R-Value AFUE HSP.F SEER R-Value R-Value and De th National Appliance Energy .35 R-3 8 R-19 R-19 R-10 R-10, Conservation Act(NAECA)of 4 ft. 1987 as amended,minimums or greater as applicable Note. This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: `� REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) REScheck—Web which can be accessed at http://www.energ cy odes.gov/r6scheck/ ADDITIONS OR ALTERATIONS TO EXISTING BUILDINGS.OVER 5:YEARS OLD*' *Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b a) SF 100 x — ` _ % of glazing (b) Glazing area equals SF b' a If glazing is<:40%o use.the chart below: If glaziri is>:40'.%.,pr0ceed.to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM ❑ Ceiling and R-Value R-value Slab Perimeter Fenestration Wall Floor Basement wall Exposed floors R.-Value U-factor R=Value R-Value and Depth .3 9 R-3 7 a R-13 R-19 R-10 R-10, 4 feet a R-30 ceiling insulation maybe used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and including any access openings). SUNROOM—An addition onalteration to an existing building/dwelling unit where the total 0 glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the i addition. Note: Owner to fill out Consumer Information Form (found in Appendix 120.P) T r IMPORTANT- UPGRADE REQUIRED STATE BUILDING CODE REQUIRES THE UPGRADING OF DETECTORS FOR THE ENTIRE DWELLING WHEN [� D f MORE SLEEPING AREAS ARE ADDED OR CREATED. NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLA N OF SMOKE DETECTORS-THE ELECTRICAL PERMIT PO NOT SATISFY THIS REQUIREMENT. SMO E DETECTORS REVIEWED l Jr� RNSTABLE BUILDING DEPT. DATE <TV ` FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING (3) 1-3/4"x 16"LVL RIDGE: �fA1�ED� Roo.- F N /76`58,55.. W A.M. LOT 3 272-002-003 13718.3 SQ. FT. �ssrc 0.3 ACRES 64.2ft o LOT 2 4n .� W 15.5 o 2 DECK -------EXISTING-- -== Z LOT 4 15. =='HOUSE===------------- -------------- 23.8ft � � 8 � i h �p`L ,gyp 77.1ft N L=20.00' ANTHONY R=89.16' DRIVE FLOOD ZONE "c" FOUNDATION CERTIFICATION RES ZONE.• "RH&RAH" TOWN "HEWWS" SCALE 1"=30' PLREF.• "475-38" ELEV N/A SETBACKS- "30'-15'-15'" ,,.*AAA YANKEE LAND SURVEYORS �► P�ZH OF/d,CS'S �� & CONSULTANTS I CERTIFY THAT THE ; o��P P.O. BOX 265 'FOUNDATION" IS SHOWN o sTEP"Era ► UNIT 1 40 INDUSTRY ROAD J. N ON THE PLAN AS IT EXISTS ; U DOYLE ; MARSTONS MILLS, MA 02648 ON THE GRO UND TEL• 508-428-0055 FAX 508-420-5553 ► . JOB �•w'j� DATE. "07/22/08" NUMBER "54377FND" r oFtr Town of Barnstable Regulatory Services µ anxNUM xsrneLe Th om as F. Ge filer,D it ect or ArfO59. Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.nia.us Office: 508-862-4038 Fax: 508-790-6230 October 29,2008 Ms.Billiejo Cardona 16 Anthony Dr. Hyannis,MA 02601 Re: 16 Anthony Drive EXIT ORDER Dear Ms.Cardona Under the provisions or 780 CMR,the State Building Code,section 3400.5.1,you are hereby ordered to immediately discontinue the use of the upstairs area next to the new garage for sleeping purposes.The emergency egress window has been removed. Your cooperation in this matter is appreciated. Sincerely, rG- Paul Roma Local Inspector r-D a, Triple 1-3/4"x 11-7/8"VERSA-LAM®2.0, 3100 SP Floor Beam1F2\2131 BC CALL®9.5 Design Report-US 1 span No cantilevers 10112 slope' Thursday,August 14,200813:47 Build 91 File Name: 0808113 Job Name: 0808113 Description:Beam Supporting Ceiling Address: 16 Anthony Drive Specifier: Ted Cooper City,State,Zip:Hyannis,MA Designer: Michael Provost Customer: Gonzalez Construction Company: ,National Lumber Company, - Code reports: ESR-1040 Misc: 65 Maple St.Mansfield,MA 02048 I 1 I I I i 1 I 1i I2I - ! ! 31 -00-00 BO,3-1/2" �... - 81,3-1/2„ LL 1742lbs LL 1742 Ibs DL 2196 Ibs DL 2196 Ibs Total Horizontal Product Length=19.00.00. Load Summary Live Dead snow wind Roof Live Tag Description Load Type Ref. Star End 100% 90% 115% 133% 125% Trib. 1 _Floor Load Unf.Area(psf) Left, 00-00-00 19-00-00 :40 14 - 01-04-00 2 Int.Wall Load Unf.Lin.(ion Left 00-00-00 19-00-00 • , 0 65 n/a ' 3 Attic Load Unf.Area(psi) Left 004)0-00 19-00-00 10 10 ` 134"0 Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos.Moment 17814ft-Ibs 55.8% 100% 1. 1-Internal be verified by anyone who would rely on End Shear 3407 Ibs 28.8% 100%. 1 1-Left output as evidence of suitability for particular Total Load Defl. U296(0.752") 81.2% _ 1 1 application.Output here based on building Live Load Defl. U669(0.333") 53.8% 1 1 code-accepted design properties and Max Defl. 0.752" 75.2% 1 1 analysis methods.Installation of BOISE engineered wood products must be in Span/Depth 18.7 n/a 0 1 fi',. accordance with current Installation Guide and applicable building codes.To obtain %Allow %Allow Installation Guide or ask questions,please Bearing Supports Dim.(L x W) Value Support Member Material call(888)234-0056 before installation. BO Wall/Plate 3-1/2"x 5-1/4" 3938 Ibs 50.4% 28.6% Spruce-Pine-Fir ac CALc®,BC FRAMER®,AJSTM, B1 Wall/Plate 3-1/2"x 5-114' 3938lbs 50.4% 28.6% Spruce-Pine-Fir ALLJOISTO,BC RIM BOARD-,BCI®, BOISE GLULAM- SIMPLE FRAMING Notes SYSTEM®,VERSA-LAM®,VERSA-RIM Design meets Code minimum(U240)Total load deflection criteria. sa r= PLUS®,VERSA-RIM®, Design meets Code minimum(L/360)Live load deflection criteria. VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products,L.L.C. Design meets arbitrary(1")Maximum load deflection criteria., User Notes BO-(4)2x4 post B1 -(4)2x4 post Connection Diagram bj— d a o� o c a. e 0 O a minimum=2" c=6-7/8" b minimum=3" d=12" e minimum=3" Nailing schedule applies to both sides of the member. Member has no side loads. Connectors are."16d Common Nails Page 1 of 1 The engineers approval is for structural Engineer Lumber Products(ELP)only and is based solely on the information provided National Lumber by the Customer. National Lumber is not responsible for checking the validity of this information or to ascertain what further factors maybe taken into consideration. It is.the \ty.OF Mq Customer's responsibility to satisfy themselves that the information and configuration shown is correct and satisfactory for the given structure and all parties involved. o� LAWRE E 9G g CT R -i IO ST TURAL v; 30146 `QGisTEP'�c.acr`� - E ENGINEERED WOOD DIVISION FSSrONALE�G� 65 Maple St,Mansfield,MA 02048 (508)339-8020 08/155/08 LSC40368 \\ntservl 1\worMWork2008\0808_Aug\0808l l3\Public Submissions\Install Documents\ELP\0808113 MA 8-15-08.pdf f I e Triple 1-3/4"x 11-7/8"VERSA-LAM®2.0 3100 SP Floor Beam\F2\2132 BC CALL®9.5 Design Report-US 1 span I No cantilevers 10/12 slope Thursday,August 14,200813:47 Build 91 'File Name: 0808113 Job Name: 0808113 Description:Garage Door Header t Address: 16 Anthony Drive Specifier: Ted Cooper City,State,Zip:Hyannis,MA - Designer: Michael Provost Customer: Gonzalez Construction Company: National Lumber Company Code reports: ESR-1040 3 Misc: 65 Maple St.Mansfield,MA 02048 I l l l l j 1 I I l jj z 1 1j j 1 i1 1111 ! 1111 ! 111jIj_14 dill I I I II 13 Ill1 i j I I I 17-03-004-17 - - B0, LL 920lbs 81,LL 920bs b OL 2854 lbs l DL 2854 lbs SL 2070 lbs SL 2070lbs Total Horizontal Product Length=17.03.00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End t00%' 90% 115% 1331% 125% Trib 1 Tile Floor Load Unf.Area(psf) Left 00-00-00 17-03-00 ' 40 20- 00-08-00 2 Ext.Wall Load Unf.Lin.(plf) Left 00-00-00 17-03-00 0 100 n/a 3 Attic Load Unf.Area(psf) Left 00-00-00 17-03-00 10 10 08-00-00 4 Roof Snow Load Unf.Area(psf) Left 00-00-00 17-03-00 15 30 08-00-00 Load Disclosure Controls Summary value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos.Moment 23408ft-Ibs 63.8% 115% 2 1-Internal be verified by anyone who would rely on End Shear 4919 lbs 36.1% 115% 2 1.-Left output as evidence of suitability for particular Total Load Defl. U251(0.795') 95.6% 2 1 application.Output here based on building x Live Load Defl. U491 (0.40T') 73.4% 2 1 code-accepted design properties and Max Defl. 0.795", 79.5% 2 1 analysis methods.Installation of BOISE v Span/Depth 16.8 n/a 0 1 engineered wood products must be in- accordance with current Installation Guide and applicable building codes.To obtain " %Allow %Allow installation Guide or ask questions,please Bearing Supports Dim.(L x W) Value Support Member Material call(888)234-0056 Before installation. BO Post 4-1/2"x 5-114" 5844lbs 34.1% 33.0% Spruce-Pine-Fir B1 Post 4-1/2"x 5-1/4" 5844lbs 34.1% 33.0% Spruce-Pine-Fir SC CALCO,BC FRAMER®,AjS—, ALLJOISTO,BC RIM BOARD ,BCI®;. BOISE GWLAM-,SIMPLE FRAMING Cautions - SYSTEM®,VERSA-LAM®,VERSA-RIM ` Column at Bearing BO analyzed for bearing only,column analysis has not been performed°- 'PLUS®,VERSA-RIM®, Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. VERSA-STRAND®,VERSA-STUD are - trademarks of Boise Wood Products, L.L.C.,.�- Notes Design meets Code minimum(U240)Total load deflection criteria. + Design meets Code minimum(L/360)Live load deflection criteria. Design meets arbitrary(1")Maximum load deflection criteria. User Notes BO-(3)2x6 post B1 -(3)2x6 post Page 1 of Z The engineers approval is for structural Engineer Lumber Products(ELP)only and is based solely on the information provided National Lumber by the Customer.;National Lumber is not responsible for checking the valid'Ry of this information or to ascertain what further factors maybe taken into consideration. it is the jN OF.Mq Customers.responsibility to satisfy themselves that the information and configuration shown is correct and �y satisfactory for the given structure and all parties involved. LAWRE E yc IO ST TURAL m .30146 o FCrsTEP�o ENGINEERED WOOD DIVISION 4 FS310NpLENG\� 65 Maple St,Mansfield,MA 02048 (508)339-8020 08/15/08 . LSC-40369 \\ntservl l\work\Work2008\0808_Aug\0808113\Public Submissionsllnstall Documents\ELP\0808113 MA 8-15-68.pdf - Triple 1-3/4"x 11-7/8"VERSA7'LAM®2.0 3100 SP . Floor F2�Beam\ 262 . BC CALL&9.5 Design Report-US 1 span No cantilevers 0/12 slope Thursday,August 14,2008.13:47 Build 91 File Name: 0868113 f Job Name: 0808113 'Description:Garage Door Header ' Address: 16 Anthony Drive ,Specifier: .Ted Cooper ` City,State,Zip:Hyannis,MA Designer: Michael Provost s , Customer: Gonzalez Construction Company: National Lumber Company Code reports: ESR-1040 Misc: 65 Maple St.Mansfield,MA 02048 Connection Diagram Disclosure ' b 7d7 I Completeness and accuracy of input must be verified by anyone who would rely on a • • • output as evidence of suitability for particular o o application.Output here based on building c y code-accepted design properties and • • analysis methods.Installation of BOISE e 0 0 c s engineered wood products must be in accordance with current Installation Guide and applicable building codes.,To obtain Installation Guide or ask questions,please a minimum=2" C=6-7l8° call(888)234-0056 before installation. b minimum=3" d=12" „ r e minimum=3" f' BC CALC®,BC FRAMER®,AJS-, ` Nailing schedule apples to both sides of the member` ALLJOISTO,BC RIM BOARD-,BC14DBOISE GLULAM-,SIMPLE FRAMING Member has no side loads. SYSTEM®,VERSA-LAM®,VERSA-RIM Connectors are:16d Common Nails PLUS®,VERSA-RIM®, ' VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products,L.L.C. r a , Page 2 of 2 The engineer's approval is for structural Engineer Lumber Products(ELP)only and is based solely on the information provided National Lumber by the Customer. National Lumber is not responsible for checking the validity of this information or to ascertain what further factors may be taken into consideration: It is the 1N OF Pqq Customer's responsibility to satisfy themselves that the information and configuration shown is correct and �pV satisfactory for the given structure and all parties involved. , o� LAWRE E yc U 0 ST TURAL co ENGINEERED WOOD DIVISION- sSJONAL EN 65 Maple_St,Mansfield,MA 02648 (508)339-8020 08/15/08 . LSC-40370 \\ntservl I\mrk\Work2008\0808_Aug10808l l3\Public Submissions\Install Documents\ELP\0808113 MA 8-15-08.pdf r , Single 11-7/8" BCI®60s-2.0 SP Joisffi\2J1 BC CALL®9.5 Design Report-US 1 span I No cantilevers 0/12 slope Thursday,August 14,200813:47 Build 91 16"OCS Repetitive}Glued&nailed construction t File Name: 08081.13 Job Name: 0808113 Description:Floor Joist Address: 16 Anthony Drive Specifier: Ted Cooper City,State,Zip:Hyannis,MA Designer: Michael Provost Customer: Gonzalez Construction Company: National Lumber Company Code reports: ESR-1336 r_ Misc: 1 65 Maple St.Mansfield,MA 02048 1 i _ll1i111i I i111 � r �. 1 _ 11111 i . l . 18-10-00 -. CM BO,2-3/8" { B1 2-34' ILL 502 lbs ILL502 lbs DL 251 lbs DL 251 lbs Total Horizontal Product Length=18-10-00 Load Summary Live Dead , Snow Wind Roof Live Tag Description Load Type Ref. Start End 1001% 901% 115% 1330% 125% OCS 1 Floor Load Unf.Area(psf) Left 00-00-00 18-10-00 40 20 16" Load Disclosure Controls Summary Value. %Allowable Duration Case Span Location Completeness and accuracy of input must Pos.Moment 3453ft-lbs 55.4% 100% 1 1-Internal be verif ied by any one who would rely on End Reaction 738 lbs •55.7% 100%. _ 1 1=Left output as evidence of suitability for particular Total Load Defl. U493(0.452') 48.6°(r 1, 1 application.Output here based on building Live Load Defl. LJ740(0.301") 64.8% 1. 1 code-accepted design properties and Max Defl. 0.452" 45.2% 1, 1 analysis methods.Installation of BOISE Span/Depth 18.8 n/a p 1 engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain %Allow %Allow Installation Guide or ask questions,please Bearing Supports Dim.(L x W) Value Support Member, Material call(888)234-0056 before installation: BO Wall/Plate 2-3/8"x 2-5/16' 753 lbs 32.3% n/a Spruce-Pine-Fir BC FRAMER®,AJSTM, , L CA cAc® B1 Wail/Plate 2-3/8"x 2-5/16"' 753 lbs 32.3% ' n/a Spruce-Pine-Fir BC BC CO,,BC RIM BOARD-,Bao, BOISE GLULAM",SIMPLE FRAMING Notes " SYSTEM®,VERSA-LAM®,VERSA-RIM Design meets Code minimum(U240)Total load deflection criteria. PLUS®,VERSA-RIM®, Design meets User specified(U480)Live load deflection criteria. VERSA-STRAND®,VERSA-STUD®are Design meets arbitrary(1")Maximum load deflection criteria. trademarks of Boise Wood Products,L.L.C. Composite El value based on 23132"thick sheathing glued and nailed to joist. f , Page 1 of 1 The engineer's approval is for structural Engineer Lumber Products(ELP)only and is based solely on the information provided National Lumber by the Customer. National Lumber is not responsible for checking the e validity of this information or to ascertain what further factors may be taken into consideration. It is'the SH OF M4 Customer's responsibility to satisfy themselves that the information and configuration shown is correct and satisfactory for the given structure and all parties involved. } moo`' LAWRE E ycN g ..0 T 666 IO ST TURAL y .30146 S7 ENGINEERED WOOD DIVISION NALEN�'� 65 Maple St,Mansfield,MA 02048 (508)339-8020 08/15/08 LSC-40371. ; \\ntservt t\wbrk\Work2008\0808_Aug\0808113\Putilic Submissions\Install Documents\ELP\0808113 MA 8-15-08.pdf Triple 1-3/4" x 16 VERSA-L.AM®2.0 3100 SP Roof Beam\R\1161 BC CALL D 9.5 Design Report-US 1 span No cantilevers 10/12slope Thursday,August 14,200813:47 Build 91 File Name: 0808113 Job Name: 0808113 Description:Ridge Beam Address: 16 Anthony Drive Specifier: Ted Cooper City,State,Zip:Hyannis,MA Designer: Michael Provost Customer: Gonzalez Construction ,, Company: National Lumber Company Code reports: ESR-1040 Misc: ' 65 Maple St.Mansfield,MA 02048 �° 12 Illiiilllilllll � il '1 1+1=1llllllil111i1111i11 ' 19-00-OG BO,3-12' B1,3-112' DL 2504 Ibs OL 2504 Ibs SL 4560lbs SL 4560 Ibs .Total Horizontal Product Length=19-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start. End 10016 90% 115% 133% 125% Trib. 1 Roof Snow Load Unf.Area(psf) Left, 00-00-00 19-00-00 . 15 30 ' 16-00-00 Load. Disclosure Controls Summary Value %Allowable Duration 'Case Span Location Completeness and accuracy of input must Pos.Moment 31957 ft-Ibs 49.6% 115% 3 1-Internal be verified by anyone who would rely on End Shear 5856 lbs 31.9% 115% 3 1-Left. output as evidence of suitability for particular Total Load Defl. U403(0.552') 44.6% 3 1 application.Output here based on building Live Load Defl. U625(0.355') 38.4% "' 3 1 code-accepted design properties and Max Defl. 0.552" 55.2°b 3 1 analysis methods.Installation of BOISE Span/Depth 0.55 2%n/a 0 1 engineered wood products must be in accordance with current Installation Guide- " and applicable building codes.To obtain %Allow %•Allow Installation Guide or ask questions,please" Bearing Supports Dim.(L x W) Value Support Member Material call(888)234-0056 before installation. BO Post 3-1/2"x5-1/4" 7064Ibs, 45.2% ,"51.3% Douglas Fir BCCALL®;BCFRAMER®,AJS^^; B1 Post 3-1/2"x 5-1l4" 70641t>5 " 45.2°� 51.3% `DollglaS FIf' ALLJOISTO,BC RIM BOARD-,BCI®, BOISE GLULAM-,SIMPLE FRAMING. Cautions SYSTEM®,VERSA-LAM®,VERSA-RIM Column at Bearing BO analyzed for bearing only,column analysis has not been performed. PLUS®,VERSA-RIM®, Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. VERSA-ss RAND®,vood SA-STUD are trademarks of Boise Wood Products,,L.L.C. For roof members with slope(1/4)/12 or less final design must ensure that ponding instability will not occur. For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow' surcharge load. r Notes Design meets Code minimum(U1SO)Total load deflection criteria. Design meets Code minimum(L/240)Live load deflection criteria: Design meets arbitrary(1")Maximum load deflection criteria. Member Slope=0,consider drainage. User Notes BO-46 Douglas Fir post. t B1 -46 Douglas Fir post Page 1 of 2 a The engineer's approval is for structural Engineer lumber Products(ELP)only and is based solely on the information provided National Lumber by the Customer. National Lumber is not responsible for checking the validity of this information or to ascertain what further factors may betaken into consideration. It is the IN OF yfq Customer's responsibility to satisfy themselves that the information and configuration shown is correct and satisfactory for the given structure and all parties involved.. LAWRE E 9G COT f ST TURAL ti + 30146 ' .. A �G/STEP�O �Q ENGINEERED WOOD DIVISION �SS�ONALE�G� 65 Maple St,Mansfield,MA 02048 (508)339-8020 08/15/08 LSC-40372 \\ntservl lNvmrk\Work2008\0808 Aug\0808113\Public Submissionslinstall Documents\ELP108O8l l3 MA 8-15-O8.pdf ' Triple 1-3/4 z 16"VERSA-LAND 2.0 3100 SP Roof Beam\R\RB1 BC CALO®9.5 Design Report-US 1 span No cantilevers 1 0/12 slope Thursday,August 14,200813:47 Build 91 File Name: 0808113 Job Name: 0808113 Description:Ridge Beam Address: 16 Anthony Drive Specifier: Ted Cooper City,State,Zip:Hyannis,MA Designer: Michael Provost Customer: Gonzalez Construction Company: National Lumber Company Code reports: ESR-1040 Misc: 65 Maple St.Mansfield,MA 02048' ' t Connection Diagram Disclosure 1+ b d Completeness and accuracy of iAput must a be ver fled by anyone who would rely on output as evidence of suitability for particular application.Output here based on building c code-accepted design properties and analysis methods.Installation of BOISE i e o 0 o engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please a minimum=2" c=11" call(888)234-0056 before installation. b minimum=3" d=12" e minimum=3" BC CALC®,BC FRAMER®,AJSTM, ALLJOISTO,BC RIM BOARD-,BCI®, Nailing schedule applies to both sides of the member. BOISE GLULAM—,SIMPLE FRAMING _ Connectors are:16d Common Nails SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, , VERSA-STRAND®,VERSA-STUD®are l trademarks of Boise Wood Products,L.L.C. ' rVi'e Page 2 of 2 ` i< The engineer's approval is for structural Engineer Lumber Products(ELP)only and is based solely on the information provided National Lumber by the Customer. National Lumber is not responsible for checking the validity of this information or to ascertain what further factors may be taken into consideration. It is the^ jN OF rrq d Customer's responsibility to satisfy themselves that the information and configuration shown is correct and FPV satisfactory for the given structure and,all parties involved. LAWRE E a t ov ST TURAL 10 \ 30146 ,.. .. .p ENGINEERED WOOD DIVISION FSSiONAL 65 Maple St,Mansfield,MA 02048 (508)339-8020 LSC-40373 \\ntservl 1\work\Work2008\0808_Aug\0808l l3\Public Submissionsllnstall Documents\ELP\0808113 MA 8-15-08.pdF r - T Town-.of Barnstable Regulatory Services M:�ss. a"RKAS gam Thomas F. Geiler,Director . � 1639 b Building DiVision Ep� Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: r . ap/Parcel: 4 t� -� Project Address IU. E N Builder: . Z3 Y �=-7 The following items were noted on reviewing: L- V/ E0 61 TZ 61 r`' c- s lZraf� c�c , S Co - .. : . Reviewed by: Date: Q:Forms:Plnrvw eJ�LP� e� Kevin Burke � Secretary Thomas G.Gatzunis,P.E. �/.�LG �y �?e P/l7eG62L/!i__20� Commissioner e/t/ /Xde Gary Moccia;P.E. Deval L.Patrick Chairman Governor / /��,/�/� � � G� / &,&Po ey<< J , �J�/ Stanley Shuman,P.E. Timothy P..Murray Vice Chairman Lieutenant Governor Thomas Perry 367 Main Street Thursday,April 16,2009 Hyannis MA 02601 Contractor's name: ROBERT GONZALEZ SR HIC/CSL#: 152637 / Property Address: 16 Anthony Drive Hyannis MA CD _ Complainant: Miguel&Billiejo Huffarn Complaint Number: 2009-07 r; yr Greetings: Please be advised that the Board of Building Regulations and Standards has received a complaint against the above-listed registrant. Your immediate attention to this matter is requested. In order to assist the Board in its investigation of the complaint,kindly forward any documentation relative to the above-listed property that.you have in your possession to the Board. Please reference the complaint.number and registrant in your reply. Kindly refer to the Department of Public Saftety website(www.mass.gov/dps)for answers to any questions you may have about this matter or the complaint procedure in general. You will be notified in writing should your appearance at a hearing become necessary. Thank you in advance for your invaluable assistance Veiy truly yours, l l) Oki BOARD OF BUILDING REGULATIONS Q AND STANDARDS �QAj This document contains importanrinjarmation. Este documento con informacl6n importante. Please have'it translated immediately. Por ,favor,hkgalo traducir de inmediato. Dokiman silo genyen enfomasyon ki enp6tan.; Questo.documento condene informazioni importand. Tanprift on moun tradwi/pou ou imedyatman. Questo modulo vatradono immediammente. Este documento contim informatees importames. TaiWu nay bao gom thong tin quan trong.- Deve ser traduzido promamente. Xin dick ban n8y ra ngon ngu cua quy of ngay.. J �G�ll2�lGGl7.l.0�E?e22%LfL ei��GlliJd�fLZGdEiIL No: ----- _ Received Date: r� me, For state use only 2009-13 7-15263 7 Home Improvemel 2009-138=95214 "� `'sorce>ne— In order to file a complaint against a person registered as a Home Improvement Contractor and/or a Constuction Supervisor License holder,this form must be filled out completely and submitted to the Board of Building Regulations and Standards(`BBRS"). Submission of a complaint will not automatically result in a hearing against the contractor. Filing a complaint with the BBRS will not result in a monetary award to you.This complaint may result in disciplinary action against the contractor's registration or license.You will be notified in writing of any hearing scheduled relative to the contractor named in your complaint. Please refer to the Department of Public Safety website,(www.mass.gov/dps) prior to f ling a complaint to ensure that the circumstances of your case fit within the prerequisites for filing a complaint. 1. Your information: (Please type or print neatly) c Name: Address: A' ' 020 .: _..._ Address of property at issue: Day Phone: (< ) '. Fax: ( ) E-mail CC4 (�IICtttt+e��C6rYdL F(A 2. License holder/Registered contractor: Contractor name:L/ L --- Business.name: Business address: ` Phone: Date contract signed: / / Amount of contract: $ 19,��-F�0 cc5w s 3. Does the contractor who aggrieved you hold the following: (please circlethe number below) 1. Home Improvement Contractor registration---- (HIC) # 2. Contruction Supervisor License---------------- (CSL)# 57z- d � 4. FOR COMPLAINTS INVOLVING HOME 11"ROVEM ENT CONTRACTORS: Please circle the number of any of the following acts(in accordance with G.L.c.142A)which you allege took place in your dealings with the MC registrant: 1.Operating without a certificate of registration issued by the Department; pandoning or failing to perform,without justification,any contract or project engaged in or undertaken by a registered contractor contractor,or deviating from or disregarding plans or specifications in any material respect without the consent of the owner; 3.Failing to credit to the owner any payment they have made to the contractor or his salesperson in connection with a residential contracting transaction; 44. aking any material misrepresentation in the procurement of a contract or making any false promise of a character likely to m uence,persuade or induce the procurement of a contract; 5.Knowingly contracting beyond the scope of the registration as a contractor or subcontractor; 6..Acting directly,regardless of the receipt or the expectation of receipt of compensation or gain from the mortgage lender,in connection with a residential contracting transaction by preparing,offering or negotiating;or attempting to or agreeing to prepare, arrange,offer or negotiate a mortgage loan on behalf of a mortgage lender; 7.Acting as a mortgage broker or agent for any mortgage lender; 8.Publishing,directly or indirectly,any advertisement relating to home construction or home improvements which does not contain the contractor's or subcontractor's certificate of registration number or which does contain an assertion,representation or statement of fact which is false;deceptive,or misleading; 9.Advertising in any manner that.a registrant is registered under this chapter unless the advertisement includes an accurate reference to the contractor's or subcontractor's certificate of registration; s 0. iolation of the building laws of the commonwealth or of any political subdivision thereof; 11.Misrepresenting a material fact by an applicant in obtaining a certificate of registration; 12.Failing to notify the Department of any change of trade name or address as required by section thirteen; 13.Conducting a residential contracting business in any name other than the one in which the contractor or subcontractor is registered; 14.Failing to pay for materials or services rendered in connection with his operating as a contractor or subcontractor where he has received sufficient funds as payment for the particular construction work,project or operation for which the services or materials were rendered or purchased; 15.Failing to comply with any order,demand or requirement lawfully made by the administrator or fund administrator under and within the authority of this chapter; 16.Demanding or receiving payment in violation of clause(6)of paragraph(a)of section(2)which states:"a time schedule of payments to be made under said contract and the amount of each payment stated in dollars,including all finance charges.Any deposit required under the contract to be paid in advance of the commencement of work under said contract shall not exceed the greater of one-third of the total contract price or the actual cost of any materials or equipment of a special,order or custom made nature,which must be ordered in advance of the commencement of work,in order to assure that the project will proceed on schedule.No final a ment shall be demanded until the contract is completed to the satisfaction of the parties thereto;" 1 4 17. iolating any other provision of chapter 142A. 2 5. Please provide a detailed description of the acts or omissions committed by the licensee/registrant that lead you to file this complaint. When possible,please cite to the applicable section of the MA State Building Code. '(The Code can be found at www.state.ma.us/dns). t y i PLEASE ENCLOSE: 6.Please submit the application,and all supporting documentation,i.e all plans in I"x 17''format,building application,court judgments,contract,photographs,etc. In addition,the complete package(including plans and photographs)must be submitted via compact disc(CD). 7. I hereby affirm that the information contained in this complaint package is true and accurate to the best of my knowledge and belief Signed under pa' of perjury: A Signature " . Date 8. Please submit all requirements on line number 6 to the following: t Program Coordinator Board of Building Regulations and Standards HIC/CSL Program One Ashburton Place,Room 1301 Boston,MA 02108 3 r i Town of Barnstable �, egulatory Services MASS. Building Division n 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection k, r+ - Location 1" 1`i�'�-t3.�'Y� Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: *u Ste' TS -C c;h2'7- --Ttjt d`t ._ S 774 i CSD F t k-6� ke-ac,(f &J �q KIEFI!-:715 ff. ? 63( Pi ok /Y -CAe-c- D /b LL44c. 11 cOffmyyoo k- Q 52WIRS INCe7/- Please call: 508-862 038 for re-inspection. 3(�" / / G- 2.5 Inspected b P y .� l4 �LT� ' -57-47 N�S Date '�"-C4 6-- April 28 -signed contract complete contract by Aug 1st May -getting plans June 24-Permit ready$5353.20 contract assumed to complete by Sept 1st July 24- Slab, footers, foundation Complete(not apron)basement flooded$5353.20 Aug 13 8-530 9.5 side wall built 14 7:30-3 7.5 sidewall lifted back wall built 15 7:30-2 6.5 cut air compressor cord Total hrs 23.5 t Aug 18 lost key for generator No work no electric 19 9-5 8 20 7:30-3:30 8 short ceiling wood 21 8-12 4 need wood came @2 went to drop off son 22 No Show 23 8-12ish 4 Total hrs 24 Aug 25 No Work Home Depot Didn't deliver 26, 4-7 3 Not sure no explanation. 27 7:30-5 9.5 Top Side 28 7:30-6 10.5 Top Side 29 8-5 9 Total hrs 32 windows flooded (Roberto came to help tyvek) Sept 1 7:30-12:30ish 5 2 9-5 8 3 9-5 8 ' 4 9:30 1 need 3 rafters No work$453.20ck$4900.tied up due to void 5 8-1:15 5 needed plywood took my van to get. Put up 2 rafters Total hrs 27 6th fix pymt, Talked about bad hrs,Agreed 8-5 everyday! Sept 8 8:30-5 8.5 9 9-6 8 10 8:30-5 8.5 11 9-4 7 12 9-2 5 Total hrs 37 Sept 15 8-4 8 16 8-5:30 9.5 17 7:30-5 trim 9.5 (lary wait shigls for insp Rob'done promised next week) 18 possible come @ noon for an acct didn't comeOK 19 Not here called @11 to say still*other job Total hrs 27 Sept 22 8:30-5:301 trim shingle 23 9-5:9 shingle 24 9:30-5 8.5 shingle 25 8:30 4 7.5 shingle 26 8:30-2ish 5.5 rebuilt stairs to steep Total hrs 39.5 (shingling not finished as promised) • Joist hangers missing(pictures marked 13 ) • Didn't flash until late Oct(pictures marked 14)caused rain damage: • Stairs were not built as planned;flush against house wasting space: (pictures marked 15) Roof not weather tight. (pictures marked 16) • Unessesary water damage. Water poured into my house Ist,2"d and basement on 2 occasions. (pictures marked 17) • Marc bad cuts(pictures marked 18 ) • Didn't put stairs outside door(pictures marked 19) j. • Gable angles not long enough and missing a few F He supposed to be coming back to finish his punch list. Re-build the"stairs in the back of the garage,and install the gutters he broke finish apron.He has yet to show up. Our contract stated aug 1 completion it's nov. All of his work so far has been poor r quality, it's a cosmetic disaster. I don't want him to do the window only because of his poor quality work..I just want help; many people I have"come into contact with informed me that your organization would be able to help my circumstances. -Thank you, r Billiejo Cardona . 16 anthony dr Hyannis, MA,02601. . 508-775-1339 t Gonzalez Construction Contract Agreement This agreement made Twenty eighth day of April,1008,byanibetween.Robert Gonzalez . ,hereinafter call the contractor and,Miguel&'Bidiejo'Cardona`hereinafter called the owners. Witnesseth,that the:contractor and the owner for the consideration names as followed:. Article 1.Scope:of work r The contractor perform all of the work shown on the drgwnm_ g and or described in the specifications in title exhibit A,as annexed Here to as it pertains to.work to be performed on property at: 16 Anthony Dr Hyannis Ma 02601 Article 2.Time-of completion. .a The work to,be performed ander.this contract;sha11 be commenced on,orbefore June.2nd,2008,and shall be substantially completed on or before-August 1st;2008:time is of the essence.The following constitutes substantial commencement of work pursuant to this proposal and this contract: Article3. The contract'price - ,y^. F ` The owner shall pay the coutractor•for the labor to be performed tinder this contract the sum of47 _dollars($17,844.00),subject to additions and deductions pursuant to authorized change order. Article 4. Progress payments ' r Payment of the contract price shall in the manner following: 30%Upon,Permit'Being Palled'($5,353 20)'0 0 30%When The FoSadatron&Slab Ar0oured 30%When:Framing,Roof Are Up-&Side Wall Has-Started($5,353.20) 10%When Job Is Completed($1,784.40.) Article 5. General provisions Any alteration or deviation from the above specifications,including but not limited to any such alterations of deviation involving additional materials and or-labor cost, will be executed only upon written order for same;signed by owner`and contractor, and if there is any change or such alteration or deviation;'the°aidditional`c>large'will be added to the contract price of this contract.If payment is not made when due, contractor may suspension the job until such time as all payments due have been made.A failure to make payments for a perio"d'in•`ezcess=of 5..-days"front the.due*date. of the payment shall deemed a materiahbresich of thisfcontract.if a failure to make payments legal action will take place any fees inquired will be added to the contract price and to be reimbursed by owner.Any unpaid balance over 10 days will be subject to 18% ever 2&days t In addition,the following general provision apply: 1:All work shall be in a workmen-like manner in compliance with all building codes and other-applicable laws: §e 2.The contractor shall furnish a plan and.scale drawing showing the shape;size dimensions,and construction and equipment specifications'for home improvements, 4y ' 1 • r ' _. ,.. ._. ...:.tom .,--•:-:::.�.:. -Si m -thy Twenty Eighth day of April,2008. e of owner: Migu 1&Bi ' jo .done l/ f r 1 p aine of contractor: Robert Gonzalez j Bs{signature}: 1 Lah%I T i S: _ 1 g.. �k T v �`t 4 t'6 tt � i1 i 41.........-._. • n ! _;- - i p kE --- —--- — rV # yLv - 7113 `, �� fy: � •� s' _ ems• -3 :; � '+� I7 ; > ,a � ;..�` fir = "�r►FE �.�e,L`:" �, .., to 3 o { To 70'' � ! M 7- 1 • a'o ' yvIl, f I ' F Teaa I !oP/i Ivu� } � eca Ike I r " i # j r r f r i i lG D f `7 Ly 7-TI it tie �y 9 P /D 1 y f t 4. 7a g .... { Gf Sc — ,o --- a ? i {�Pfltt t t. r S h FILt�g _. 5 __.__..�. .0 _..___.__ ..._L_..r...�..__ �,s_.,, .„•ate ,ems_ r 1 I Nov 16 08 07:50p Sean & Jan Smith 6084308088 p.1 . r N Haase Liit, Awaeting CaRUN . e 0 r...... CS iNo.78M DAIM 9e01bee sb,20" Seaia Smith VMICB 8,so P.O.aE"s3" orjea %NA O 9"S t5�sgasos3/(9")246 JO" Fears Mn Tog . Contract No. 269 Name: Attn: Rob Gonzalez Miguel & Billejo Cardona , A 16 Anthony Drive , Hyannis, MA 02601. phone: 508-775-1339 STATUSDLSCAI'�'1'tOhi AMOUNT N'PRACT NO. 269:EXCAVATZON110 Ft)Uj T $6,260.00 Due • Total amount per contract No. 269 TOTAL AMOUNT DUE $6,260.00 TOTAL,PAID-TO-DATE (7/"/O8l -$5,000.00 BAI,ANCES:OUE_ $19260.00 Make all checks pagable to Sean Smith TgA,NK YOU FOR YOUR BUSHMSI y f ?4v.UV .Ili¢A` _ anvm18v6\ � ,/ 1067 /�/� xpmia-It�mea ^/w�. /xr/ r•% r .�G9�e�aPsasaa ;su'm°'G`�1a"`•'�'y 1068 ., xa �•vssv urwc¢a n,mr P.a sa :•.fsv o„� SAD 1 .1437307B1: BS 16593r 67 r0 Dl8DD01 +:2313730781: 85 201659in' OOOrrit 71067 6/ 08 $180.00' 11 50.00 1071 mcmnn'� ._.+17gvde .Paades - anWmo'. .101' .` �a.e $ffa!�� l/pmi.1l11IIax/ .. i v �eKh• ;., r3 o11PEe00p11E r F1371078ip85 20 659W: t07 _- _ - - e.3 wd7W�kl� t �. .— wutc�nn+T+rtaae 1:Zi 137t07& 852D1659 tr t04 tr00000060001 1`1; _ J 23i37i0781: BS 2016591t' 10 P 1071 6/27 Og .00 $60' 1'.072 r; 6/25/200.8", 353'.'20 dlynd.EBr7�xG• r -a n .. , reldty n 1075 F VF m� 1s - . err t p Q(\ 2w- gii—hi?,0781: 8 1.5 20t659II. 1 5 \/ 1075 . 6/27/2008 $55.00a s 4072 -16048 Cape Cod Five Cents Savings Bank Acc°ilnt: 8520165.91 Period: 8/6/2008 TO" 9/5/2008 _ ..... Page 11' le,4rhyh '"'"a' 1105 dkR1.4Hd1niF.admo �Tu �107 rofatGyh ° L-_7�_/G/�_ SaS•T.Mr iror �3 p.� 11yev..lU ON01 clyp � - S ``fie iDIAtIYOd eeourwl s0D (( 1:21137.i07a1: 85 i6 Ia. 1i05 - 1 23137.1D78r• "B5 20 jr.591M"3,107 - 71 1105 9/3/2008 $231.53 1107- '9/4/2008 $453'2,0x� COn:Line Servicing Page 1-of 1 Rwpp , Contact Us I Help au Your Card Accounts 1 Make a Payment i Credit Profile J! Transfer a Balance A:- Account Summary Transaction History Order Statements Manage Your Account Offers&Card Enhancements ^ Transaction History Log Out WaMu MasterCardi&credit card Account: ......5309 Select Statement Period: 07/04/2008-08/05/2008 �''' Download Transactions You can download transaction records to any of these financial management Statement Summary programs. Quicken® Balance as of 08/05/2008 $5,700.S8 Real Values Minimum Payment of $115.00 Find out where you can save with your Minimum Payment Due by 09/01/2008 Need a Reminder. WaMu MasterCard(R)credit card. Credit Line $10,000.00 __- Quick Links Available Credit Line as of 08/05/2008 $4 299 42 Recent Activity Customized Spending Profile Order Statements Transactions Report Builder Click the Transaction Description to see additional information. Date. Description Amount 07/15/2008 Payment Received--Thank You $110.04 07/28/2008 Gonzalez Construction Mashnee Ma Mtd $5,353.Z0 07/31/2008 National Lumber-oa Mansfield Ma $4,146.98 08/05/2008 Payment Received- Thank You. -$3,800.00 08/05/2008 Cash=Finance Charge* $0.40 Secure Area Contact Us I Privacy&Security I Site Terms of Use I Site Map r ©2008 Washington Mutual,Inc.All rights reserved. ` - - ` 'Pad n; on cL j A https'//www.wamucards.com/ola/base/PrevActivity �. 10/17/.08 �. � 1y �...� La•'„ ,,r... ,LL�#iA '".:.,..•r.�rar'S'•2 tnm�•t,•#S+^{3`'Y+o�'frv�l�!'+�'mt+y9bJ.f`�tjPf'�'r'.�+�ni-..,�i'krs•; +1;�,� at�,.+� ._. Xi Y 1 �`��i'4i•cY'��.k;�"+t,:-`..+�Fb�,f•�•.:-"k�''y'�::�:t�kt �a6�.pt.�PF�,�#At�R:utfx+JT,,' -,_,y�, "'"c ..���C3wi •�...r�(r 3y.f :.s tr'4�X.t1`.�*r. Town of Barnstable . . BARNSTABLE.p Regulatory Services 9 MASS. 0 Building.Division prf0 MA'S s, 200 Main Street, Hyannis,.MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location (,, 11` T�] 0`f Permit Number d Owner Builder One notice to remain on job site, one notice on file ih Building Department. The following items,need:correcting: 5 -7-» C (� ► ► � t�fir I`1 GC-7 F9 1�tr 14 1-_ �fi G-- r c. 6Y POS F P F7-E7P2 C c) 7`S �-o� I & ICc • r`r oaY not oNu i?( - r, ;nfs-, LA, ��• LAI ouCOMI7NUDuC �/9� ,✓� 1� 5 V4- 12 L. . LC 185 I�C7 6)&--_ /6 C v ��-s j Please call 5087862-4038 for re=inspection. J 7D(� Off��2_s~ �o L'T� 1 Inspected by Date C) `a-.'".C)x �: S■� ' �_---, §: + _, _ ,- � ,. ' -- � � _V�=� � .�.. c����i '' ;.� � Z �, _ � r r ,�; 1 1 �� �. r. i i . - a o � _, _� ,� J �� a ,.�wl, Aw vt �Y • �. . � �� <A _�t�.c `.u�u" �d� .•'�,gas-ate s All e • * p 7 i r. r s m� I der+ @ o x ! © 4 �. `6 c l yc f , -` C .- 0 { ry C yc C c f7 � 6 e � Y m �` �� E r � ' s` _ + � 9 . � «« 4t §��< �£ t« •«. :�������=\d2 . All a cD x` x4 a rw C �c x4 oFtHE r Town of Barnstable *Permit# Expires 6 montlis rom issue date Regulatory Services Fee r • - r BARNSPABLE, + "IAA'1639 Thomas F. Geiler, Director . �0 V V ATFpMP�A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number_0-7,2 3 Property Address �� ei mtq d j (00 lt Residential Value of Wort. VJ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �, l e _OAr4n `d L4TT�Y1ail G Aei4F vny D ve �y4hnt'S MH c�l�o1 Contractor's Name,Spf,Adf c.(._ 0661P!'UA Telephone Number 7 25- /77k I lame Improvement Contractor License# (if applicable) 10- 5-7 7 Construction Supervisor's License# (if•applicable) &(P q3 Workman's Compensation Insurance Check one: ❑ I am a sole proprietor -PRESS PERMIT ❑ I am the Homeowner ® I have Worker's Compensation Insurance jUL 1 ® 2009 Insurances Company Name ()C-y'aj�A ZinAl A C i l OWN OF BARNSTABLE Workman's Comp. Policy #CAt-� 706 49 Ub 1 aOo� Copy of Insurance Compliance Certificate.must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders:U-Value (maximum:44) *Where required: Issuance of this permit does not exempt.compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must.sign Property Owner Letter of Permission. A co h, mp rove ment Contractors License is required. SIGNATURE: I'F111STOWS\building permit forms\EXPRESS.doc Revised 100608 i HOME IMPROVEMENT SWCE Sl 944 PRM S-PRINICI F SPRINKLE HOME IMPROVEMENT.INC. Celebrating 63 Years in Business! 109 Barnstable Road-Hyannis,MA 02601,•508 775-1178.800 2444778•Fax 508 775-1350 Email-sprink@comcast.net Website address: www.sarinklehome.com Property Owner-Must Complete and Sign-This Section A o, o Pr as Owner of the subject property iereby authorize Sprinkle Home Improvement to act on my behalf, in 311 matters.relative to work being done on my property. 1 ov c r O I 0 Address of_Job , o o S iYnabmr Owner Cate Print Name AL The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �r in - TiU1fYnE'_ E*Y%n tLaY YYl ✓<� Address: I c(9 l +n Sot P City/State/Zip: Cc n r " U Phone#: 5OFS.- -7 7,5 Are you an employer. Check the appropriate box: Type of project(required): 1.[I I am a employer with 4. ❑:I am age neral contractor and I employees(full:and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑Demolition. working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers'comp.insurance comp. insuranceJ required.] 5: ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am.a homeowner doing all work officers have exercised their l L❑ Plumbing repairs or additions myself: ' right of exemption per MGL y �o workers comp. " 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no 13 Other 2 , employees. [No workers' . comp.insurance required.] *Any applicant that checks box.#i must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub:contractors and state whether or not-those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am`an•employer that is providing workers'compensation insurance for my employees. Below is the policy and job site . information Insurance Company Name:i-tS�p C1C'�xCc1 In,Au-4 t t n m f Policy#or Self-ins.Lic.#:t-1C �QQ y q y� � a Q�c( Expiration Date: Job Site Address: ri t City%State/Zip:.. L4 iia(Qd� Attach a copy of the workers'.comp nsation.policy declaration page(showing the policy number and expiration date). Failure to secure coverage.as required under Section 25A of MGL c. 152 can lead to the imposition ofcriminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP VORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance.coverage verification. . I do hereb a and penalties of perjury that the information provided above is true and correct Sip-nature: Date: e 0 Phone#: S-5 d 6.' Official use only. Do•not write in this.area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Ro a{i of ViIdin9 Regula fib ns wd St rtld ads ' ff Construc,'iion S.up'ervis-Pr.License �v4 License; CS 6643 Expa'ratrn:o 1078/2009 Tr#` 92:7 Restri`ctiont 00 BRA'J:K 5P'RI KLE 190 LOTHRVPS LANE W BARNSTAS`LE MA 02668 cair mis.gi' fifer k , 0;0 3s;Q0';0 cf enclosed space 1A M'asonry only i 1 . 1'G-1 _2)+arnily Hones F Failure to arpossess• eurretii ffh`e i Massachusetts State, ld¢;ng Code 1 is.cause for revocation of Ms.licee s:e: �- t. 1 L r f�Yd Board of.Biiildi'ng Regulations an-dI Standards HOME IMPROVEMENT CONTRACTOR Registration: 103757 4;f ; Y Ex.piratioW ,7/9/201`0 Tr# 271.033 Type- 'P09ate Corporation SPF2INKLE HOME IMPROVEMENT, INC. Brad:28,prin.We 199 Barrista6le Rd: : Hyanrns-MX02601 Admrnastra•toi License or registration valid for individul use only before the expiration date. If found return to: a Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,.Ma.02108 Not valid wit out sig ture >f 12/31�2008 14:18 Bryden & Sullivan Insurance Donna Seviour-*Margo 1/2 S OP ID DS DATE(MWDDnyyY) AC ORQ CERTIFICATE OF .LIABILITY INSURANCE SPRIN-1 12/31/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden & Sullivan Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR I 88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601 Phone: 508-775-6060 Fax: 508-790-1414 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA Associated Industries of MA INSURER B. Spprinkle Home Improvement Inc. INSURER C: 199 Barnstable Rd INSURER0: Hyannis MA 02601 ' INSURER E: " COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEWREDUCED BY PAID CLAIMS. I SR ADDI. POLICY EFFECTIVE POLICY EXPIRATION LTA INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MMlDDIYY) . DATE(MMIDO/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY - - - PREMISES Ea occurence $ CLAIMS MADE ❑OCCUR - i MED EXP(Any one person) 4 - PERSONAL G AOV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPUES PER: , - PRODUCTS-COMP/OP AGG $ POLICY JEP LOC - AUTOMOBILE LIABILITY - • - COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS - - • BODILY INJURY $ SCHEDULED AUTOS - - (Per person) HIRED AUTOS .n - BODILY INJURY $ NON-OWNEDAUTOS - (Per accident) r PROPEP.TYDAMAGE $ (Per accident) GARAGE LIABILITY 'AUTO ONLY-EA ACCIDENT S ANY AUTO _ OTHER THAN EAACC S AUTO OWLY: AOG S EXCESS/UMBRELLA LIABILITY - EACH OCCURRENCE S OCCUR a CLAIMS MADE ' T . - ' r AGGREGATE S S DEDUCTIBLE - - It RETENTION WORKERS COMPENSATION AND T - TORYU VTS OER EMPLOYERS'LIABILITY A ANY PROFRIETOR/PARTNER/EXECUTUE AWC7004943012009 '01/01/09 01/01/10 E.L.EACH ACCIDENT $ 500000 OfFX:ER/MEMBER EXCLUDED? _ E.L.DISEASE-EA EMPLOYEE $ 500000 s Yes,da3mbe under SPECIAL PROVISIONS woM - - E.L.DISEASE•POLICY UNIT S 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIOAS - - CERTIFICATE HOLDER CANCELLATION • SPPI-wO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN Sprinkle Home improvement, Inc NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,13UT FAILURE TO 00 SO SHALL Fax #508-775-1350 Margo Mack IMPOSE NO OBLIGATION.OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 199 Barnstable Rd. REPRESENTATIVES. Hyannis MA 02601 AUTHORIZED REPRESENTATIVE lKelley A.Sullivan ACORD 25(2001/08) O ACORD CORPORATION 1988 f �F O1E Tp� The Town of Barnstable -_ BARNSTABLE. `MASS. Department of Health Safety and Environmental Services � pTFOM > Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location 16 &nAb ay by- Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: I 0 SWkrw&y W4�- Am C=��Je_ C+f-e-f3LA:s. CX'I n� i�s,� �.r r,c.catie, C.'i 0S ' Q,���-rw`�-�arcs v►.a� S e a.� � to C Please call: 508-862-4038 for re-inspection. Inspected by Date 0 `°F�HEr°wti°� The Town of Barnstable J BAE. : MASS y Department of Health Safety and Environmental Services 9 . $ rn t67q. �0 plED MP'1 A• Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection 1-rcL w. Location b f. o w Y Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: U S-V�lrwv.y vtoT -6 ceJP C+re-c� 5 I ke�Cra n,, 1a51 H(1 "1'C'r�Ct1e\�P-- C._11 iD.S Jrf-� 1 o C-k G,: C- 1 i G (A DS4 k � S ii �Pe �GT� .. �o� �I C'.v. b 1..�1 �• 4y Please call: 508-862-4038 for re-inspection. Inspected by Q ' - Date 10�/ 4'y'u U TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION Map Parcel Z Application # 33 YS Health-Division Date Issued . O `� Conservation,Division "T Application F" Planning Dept. Permit Fee Date Definitive Plan'Approved by Planning Board :. i Historic OKH Preservation/Hyannis Project Street.Address --k O Village Owner - 1: Address l� Telephone — 5 Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: uII ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: J existing°i new I Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR H EOWNER) i 4tyl Name t Tele hone Numbei16QL=' _1 Address License # f ( Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION RIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY A�PLICATION# y DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE x ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t ASSOCIATION PLAN NO. .4 The Commonwealth of Massachusetts P Department of Industrial Accidents _ Office of Investigations d 600 Washington Street Boston,MA 021111' www.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual) . CX Q •Address: City/State/Zip: Phone.#: "7 � Areyou an employer? C eck the appropriate box: .Type of project(required):, 4. I am a general contractor and I 1;❑ I am a employer with 6. ❑New construction . employees(full and/or part-time):* • have hired the sub-contractors 2.Fj I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, Demolition '�vorkin for me in an capacity. employees and have workers' g Y P ty� 9. [].Building addition [No workers' comp.insurance comp, insurance.$' 5. We are a corporation and its 10.❑•Blectrical repairs or additions q= d-] rP 3. I am a homeowner doing all work . officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers' comp: right of exemption per MGL 12,❑Roof repairs insurance.required,]t c. 152, §1(4), and we have no 11D Other employees. [No workers' comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or-not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I ant an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Company Name; Policy#or Self-ins.Lic,#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration.date). Failure.to secure coverage as required under Section 25A of MGL c..152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of _Investigations of the DIA for insurance coverage verification, I do hereby certify under the pains-and penalties of perjury that the information provided above is true and correct. Si ature:` Date: 2o Phone#: Official use only. Do not write in this area, to be completed by,city or town officiaL City or Town: Permit[License# Issuing Authority(circle one): •1.Board of Health 2.Building Department 3. City/Town Clerk' 4.Electrical Inspector 5.Plumbing Inspector 6. Other Phone Contact Person: #: Town of Barnstable �op1HE Tp�� . Regulatory Services Thomas F. Geiler,Director ),AETtSTABI.E, MASS. Building Division 'TEo µA�a Tom Perry,Building Conarnissioner 200 Main Street, Hyannis, MA 02601 RVww.town.b arnstabl e.ma.us rice: 508-862-4038 Fax: 568-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: � JOB LOCATION: f`(� village number Q street "HOMEOWNER": Off. ' work hone# name ^ home phone# P CURRENT MAILING ADDRESS: �l city/town state zip code The current exemption for"homeowners 'was extended to include owner-occupied dwellings of sic units or less and to allow homeowners to engage an individual for hire who does not possess a license,.provided that the owner acts as supervisor. bEMITION OF HOMEOWNER Person(s) who owns a parcel of land on'which he/she resides or intends to reside, on which there is,or is intended to- . be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,Hiles and regulations. 1 h'e undersigned."homeowner"certifies that he/she understands the Town of Barnstable Building Department n;r,imum inspe 'on procedures and requirements and that he/she will comply with'said procedures and •equirements :ignatvrc of H me .pproval of Building Official Note: •Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the torte Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner perfomung work for which a building permit is roquircd shall be exempt from the provisions 'this section(Section 109.1..1 -ucrnsing of construction Supervisors);provided that if the homeowner cngagrs a persan(s)for hire t' _do such )rk,that such Homeowner shall act as supervisor." Many homeowners who use this exemption air unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, i)cs&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly icn the homeowner hiresunlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would With a licensed pervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the Permit application, i the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by for use in your corranunity. ,era]towns. You may care t amend and adopt such a fom✓certification l oFEr , Town of Barlastable Regulatory Services t vu ss�r'E� Thomas F. Geiler, Director t639. ti�arEorw�a - Building Division ' Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign 'Phis'Section If Using A Builder as Owner of the'subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address,of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. °FINE TOwa Town of Barnstable Regulatory Services BARNSTABM$" Thomas F. Geiler,Director 1619. Building Division �ArfD MA'S� Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I; te. , Construeti�otrpervisebirsg # A 04- ,hereby certify that I have assumed responsibility for the project.under construction, as authorized by building permit# issued to (property address) on 200 The followingdocuments are attached: - copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond (if applicable) LIC DATE (a uu� �Ornd I � n honq,, dr an-n,, 8 n9a Bot�all MIGUEL CARDONA 6-19-08 you o"�stooso P; "t ve ytkl"g ro e", wI t BARNS TAB LE,,MA 7:1 7am A- " `cyqA ' 1Of 1 KeyBeam®4.503j kmBea Materials Database 834 Ams ma— Member Data Description: Member Type:Girder Application: Floor CEILING BEAM Lateral Bracing:Continuous Both . Standard Load: Moisture Condition: Dry Building Code: SBC Dead Load: 0 PLF Deflection Criteria: U360 live, U240 total Live Load: 0 PLF Deck Connection: Nailed Member Weight: 16.2 PLF Filename: CEILING BEAM Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Additional Uniform(PSF) 0' 0.00" 19' 0.00" 16' 0.00" 10 20 Live go 19 0,10 1900 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift f 0' 0.000" Wall 3.000 1.500" 4626# — 2 18' 7.750" Wall 3.000" 1.500" 4626# — Wkimum Load Case Reactions Used for applying point toads(or line loads)to car ying members Dead Live 1 1643# 2983# 2 1643# 2983# Design spans 18' 7.750" Product:13/4 x 11-7/8 x 2.0E CP-Lam LVL 3 ply Component Member Design has Passed Design Checks" Design assumes continuous lateral bracing for both chords. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 21564.'# 33220.W 64% 9.32' Total load D+L Shear 41354 118454 34% 0.01, Total load D+L Max.Reaction 46264 13388.# 34% 0' Total load D+L TL Deflection 0.9210" 0.9323" U242 9.32' Total load D+L LL Deflection 0.5940" 0.6215" U376 9.32' Total load L Control: TL Deflection DOLS: Live=100% Snow=115% Roof=125% Wnd=133% Design assumes a repetitive member use increase in bending stress: 4% Manufacturers installation guide MUST be consulted for multi-ply connection details and alternatives All product names are trademarks of their respective owners Copyright(C)l989.20g5 by Keymark Enterprises,U.C.ALL RIGHTS RESERVED. ENTERPRISES LLC "Passing is defined as when tie member,floor joist,beam or girder,shown on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The design must be reviewed by a qualified designer or design professional as aired fora royal.This design assumes product installation according to the manufacturers 'ns. Botell MIGUEL CARDONA 6-19-08 V-0ii ,,sa„� . . at° rewlu, BARNSTABLE,MA 7:32am dofI KeyBeam®4.503j kmBeamEnsine 4.503z1 Materials Database 834 Member Data Description: Member Type:Girder Application:Roof RIDGE Lateral Bracing:Continuous Both Slope: 0.00/12 Standard Load: Moisture Condition: Dry Building Code: IBC/IRC Dead Load: 0 PLF Deflection Criteria: U240 live, U180 total Snow Load: 0 PLF Deck Connection: Nailed Member Weight: 16.4 PLF Filename: RIDGE Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Additional Uniform(PSF) 0' 0.001, 19' 0.00" 16' 0.00" 15 30 Snow ROOF LOAD P ., I 1900 i 19 0 O Bearings and Reactions Location Type Input Length. Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall 3.500" 2.297" 6835# — 2 18' 6.750" Wall 3.500" 2.297" 6835# Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Dead Snow 1 2380# 4455# 2 2380# 4455# Design spans 18' 6.750" Product:1�/4 x 18 x 2.0E CP-Lam Li 2 ply Component Member Design has Passed Design Checks." Design assumes continuous lateral bracing for both chords. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 31717.'# 51775.'# 61% 9.28' Total load D+S Shear 5730.0 13766.# 41% 18.55, Total load D+S Max.Reaction 6835.# 104124 65% 0' Total load D+S TL Deflection 0.5782" 1.2375" U385 9.28' Total load D+S LL Deflection 0.3769" 0.9281" U590 9.28' Total load S Control: Max.Reaction Ill Live=100% Snow=115% Roof=125% Wind=133% Manufacturer's installation guide MUST be consulted for multi-ply connection details and alternatives g All product names am trademarks of their respective owners Copyright(C)1989-2005 by Keymark Enterprises,I.I.C.ALL RIGHTS RESERVED. E.\TENPRrSES,LLC "Passing ie Defined as when the member,Ooorjoist,beam or girder,shown on this tlmwirlg meets applicable design cr tech for Loads,Loading Conditions,and Spans listed on this sheet The design must be reviewed by a quardied designer or design P. fessional as uiretl for a royal.This tlasi n assumes uct installation accordi to Ne manufacturer s s 'fications. Botell MIGUEL CARDONA 6-19-08 wY�n�s._ _-9toButd+h BARNSTABLE,MA 7:22am 1 of 1 KeyBeam®4.503j kmBeamEn.-ine 4.503z1 Materials Database 834 ` Member Data Description: Member Type:Beam Application: Floor GARAGE DOOR HEADER Lateral Bracing:Continuous Top Standard Load: Moisture Condition: Dry Building Code:SBC Dead Load: 0 PLF Deflection Criteria: U360 live,U240 total Live Load: 0 PLF Deck Connection: Nailed Member_Weight: 12.7 PLF Filename: GAR DR HEAD Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Additional Uniform(PSF) 0' 0.00" 16' 6.00" 8' 0.00", 10 20 Live CEILING LOAD Additional Uniform(PSF) 0' 0.00" 16' 6.00" 16' 0.00" 15 30 Snow ROOF LOAD e , o- 9 1660 16 6 0 Bearings.and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall 3.000" 2.205" 6561# -- 2 16' 1.750" Wall 3.0001, 2.205" 6561# — Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members Dead Live Snow 1 2686# 1292# 3875# 2 2686# 1292# 3875# Design spans 16' 1.750" Product:1314 x 14 x 2.0E CP-Lam LVL 2 ply Component Member Design has Passed Design Checks.— Design assumes continuous lateral.bracing along the top chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 26483.'# 32935.'# 80% 8.07' Total load D+S Shear 5613.# 107064 52% 16.14' Total load D+0.75(L+S) Max.Reaction 65614 89251 73% 0' Total load D+S TL Deflection 0.7763" 0.8073" U249 8.07' Total load D+S LL Deflection 0.4585" 0.5382" U422 8.07' Total load S Control: TL Deflection DOLS.. Live=100% Snow=115% Roof=125% W(nd=133% Manufacturers installation guide MUST be consulted for multi-ply connection details and alternatives AU product names are trademarks of their respective owners a `� Copyright(C)1989-2005 by Keymark Enterprises,LLC.ALL RIGHTS RESERVED. o I:�TERPRfS:.5,t.1.L: —Passing is defined as when the member,floor joist,beam or girder,shown on this drawing meets applicable design criteria for Loads,Loading Condifions,and Spans listed on this sheet.The design must be fev(eweA by a qualified designer or design professional as required for approval.This design assumes Product installation according to the manufacturer's specifications. BotellMIGUEL CARDONA 6-19-08 YON drIPSi�sm"mjign to ar BARNSTABLE,MA 7:59am KeyBeam®4.503j I of I kmBeamEnyne 4.503zl _Materials Database 834 ' Member Data Description: Member Type:Joist Application: Floor JOIST Lateral Bracing:Continuous Both Standard Load: Moisture Condition: Dry . Building Code: IBC!IRC Dead Load: 0 PSF Deflection Criteria: U480 live, U240 total Live Load: 0 PSF Deck Connection:Glued&Nailed Filename:JOIST Other Loads Type Dead Other (Description) Begin End Start End Start End Category Replacement Uniform PSF 0' 0.00" 19, 0.00" 12 40 Live v- s, 19 0 0 ®/ 19 0 0 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall 3.500" 1.750" 644# 2 18' 6.750" Wall 3.500" 1.750" 644# _ Maximum Load Case Reactions Used for applying point loads(or line loads)to carrying members - Dead Live 1 149#(111 pff) 495#(371 plf) 2 149#111 p 495#371 plQ Design spans 16' 6.750" Product:11 7/8"NI-40x 16.0"O.C. Component Member Design has Passed Design Checks." Allowable Stress Design Actual Allowable Capacity Location Loading Moment 2986.# 3760.'# 79% 9.28' Total load D+L Shear 6444 14804 43% 0' Total load D+L End-Reaction 644.# 1429.# 45% 18.56' Total load D+L TL Deflection 0.4617" 0.9281" U482 9.28' Total load D+L LL Deflection 0.3551" 0.4641" U627 9.28' Total load L Control: Moment DOLS: Live=100% Snow=115% Roof=125% Wind=133% All product names are trademarks of their respective owners - - Copyright(C)1989.2005 Ke DY ymark Enterprises,LLC.ALL RIGHTS RESERVED. ,F.M17F.ILPRISES,i.L[: "Passing is defined as when the member,floorloist,beam or girder,shown on this drawing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The design must be reviewed by a qualified designer or design professional as re wired for approval.This design assumes oraduct installation according to the manufacturers specificallons. - ,. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION '00 Map Parcel Application # �o 'Health Division Date Issued Conservation Division Application Fee Planning Dept. ` Permit Fee Date Definitive Plan Approved by Planning Board r Historic- OKH Preservation/Hyannis Project Street Address Village �✓)h 1. Owner Address Telephone — Permit Request PY Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, .Lk'o' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes U-Iqo' On Old King's Highway: ❑Yes Basement Type: mull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing_ new Half: existing ,# n Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Roorn Counter Heat Type and Fuel: Ullas ❑Oil ❑ Electric ❑ Other N, co f t1 Central Air: ❑Yes U-11o' Fireplaces: Existing New Existing wood/c al stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new ,size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garag : ❑existist g ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes a< If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _ ,Name 11 l C� (� Telephone Number c -7?5—) �-r Addressll License# Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO DATE SIGNATURE l T FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ; f _ MAP/PARCEL NO. -s - ADDRESS VILLAGE r OWNER I DATE OF INSPECTION: FOUNDATION FRAME INSULATION -FIREPLACE ELECTRICAL: ROUGH r FINAL PLUMBING: ROUGH FINAL I c' GAS: ROUGH FINAL FINAL BUILDING k DATE CLOSED OUT ti A SOCIATION>PLAN NO. n+E r Town-.of I�a.rnstable Regulatory Services ` BAj{STLSgg` �' Thomas F. Ceiler, Director P )Building Division �.Ol Thomas ferry, CBO,Building.Corri=ssioner 200 Main Street; Hyannis, MA 02601 www.town.barnsta ble.ma.us Office: 508-862-4038 Fa;,: 508-790-6230 PLAID REVIEW Owner: R Map/Parcel.: 7 V-0 Project Address /6 A-�I N y Builder: 6 `-y N The following items were noted on reviewing: Ctqd cy C--G CID— Revie'Wed.by: . P�� Date: I r Q Q:Fo=.-Plnrvw 17C[rlllr6"r 0) J_/7I1LtJl.i i-=J rx u ma c— Of ce of j,-vpesfcb atior:s - 600 Was bi-gton Street ww}�_rri ass.go v/dt:a Wozkers' CoxnPeusation Dnsrtrance j davit: Bugdez-s/Contractor s(L 7ecfT�cians/P.Xum.b ers AppUcamt LufDmatiozr Z�aLTIe (13usincss/Orgaz�iz�i�on/Individua[): Address:_-L0— Pn City/state/Zip; AtA Asre you an employer? C1teck the appropz-iate box: Type of pzojcet (requi_i-ed): 1.❑ I am a cnoploycc with q• E] I am a general contractor and 1 6. ❑ NcW construntion rrnployccs (full andlorport-tine).* havc lured the. ib-contractors 2.Eli ara a sol.c proprictof or parLncr- 1ist�d orz t'nc attached sheet• 7. Rcmodclinc� ship and havc no c�uployccr. Thcsc sub-�ontj-actors havc 8. Dr-mo)itiou rxsployccs.and}havc workers' , working for. mo i:Q auy capacity. c 9. ❑ Lluiltling audi(iou [No vor1, , ecTm. i.nsurauce Comp. in:urance.t 5. [� V1c a_i�; a corporation and its 10-[]'1✓1ech�cal repairs oz aciclitious 3. I ara a.ho o�vnrz doing all work o�er rs.havc cxereivcd thcic 11.� Pl mnbing rcpaixs or additions myscLf [No workers' comp, iightL of excrrt.ption per MCrL i2.❑Roof repairs in cr„ rice rccltiirc:r�_] c. 152, §1(4), and uro hay.b no -— employces. [No workers' •13.❑ Othcr comp.insurance r.cquure�L) -- aFrp)icant tttal c.hccYc bor. *Ally 7F1 TgL rt also lD out the.rcction below zhovring their}�vr)ccrs' compcn�]iox�po)i y infortz,aticm, l �Tomcowna�vh,o submit this afEida.Ytt indiatiilg Cbcy air,doxng,ill work d C)oi.hirc outr dr.cantrrdr�T must subrml une,v affidaYi[indicating Fuck; lCunIxRrtors tha.t cbcckthis box must atfacl,cd:m tuldiiional kbcct cbowulg the Mr of Il�c sub cuntncinia amd rt rnc�tbcr ornol those cnl:i.lirs 11a�ro nnployccs. 7I the sub-contnclorc h.1vc ur<phiyccc,f},r_y mutt prrrvi db their worY.crs'camp-polity nurnbcr. _, __,— ---- - X ccw rsrc employer llirrl Ls provirlirtg workers' cornperl.scztion.t_n.surcmce.for my e_m pinyees FSeZar, is'th.e poCiry an.tf jnb stic in fo rrrcatin rr IM-01-AMCC Company Policy#or Sclf i_rs. L ic. fi: Ex:pb:ation Datc: rob Sitc Address:_ Ciiy/Stake%Lip: Attach a copy of the worlrers' cornpensaiZou policy declarataou page(sbowin the policy number and expiration date). Failure to sccttCe coverage a zequircd under Scctiort 25A of MOL c. 152 can lead to the inzposiLion of Liimival pcnalti.es of a EMD up to $1,500.00 and/or ont;-year zmprisonmcnt, as wr_U.as civil pcnttltZr-s in the force of a STOP 17,'OIZK ORDER and a fino Of up to $250.00 a day against the l6olalor. Bo a6-is'cd that a copyof tbi sialcmcrzt may be fmveardcd to the Off.ce of LriLcsti tions of the IDIA for insurance coycra c vcrlflCa.tdon, - I do hereby certify I,�Fte paL,,%,.rrrtd pe alh_:es of,6Ftjury t'li,al the inform-tr6on provided above is d-tte and correct Sifnatuzc: _ _ Dsitc: ccl — PhonZ O/At.cial ruse only. Do riot write in J[Lr area, to be compietcd by city or Town oJf%c1.aL Cl(�,or Town; )?ertnitJLicense#_ X ila ff Authority (circle one); 1. Board of Health 2• Cittitding Dgarttnent 3.;Cil�,/TowiL Clerk 4, Electrical Lnspector 5. P1u.tiibing rm-pector 6. Other 'Contact Person: Phone #, _ ___ Massachusc.LLS GGLILraJ Lz m cb_aptcr 1)/rcduzres aft cmpiuycJs iuJ-)IUYj � Pursuant to thiv statazte, au errs/)foyce is d.c&cd ,ur "...evciy person in the service of auotha under any coraLract of hire V cxpress or implicd, oral or writtr_n_" An employer is defined as "m mdivzdual, pa-bacrship, association, corporation or other legal entity, or any hvo or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a dcccascd employer, or the reccivex or frust-o of m individual,pailncrshap, association or other Icgal entity, employing cruployecs. However the owner of a dwelling house having not more tbui three apartments and who resicics therein or the occupant of the dwcUiag house of.anatbcr who employs persons to d.o ma intcnana:, eonstxuction or repair work on such dwelling Jaouse ar on the grounds or building appurtenant thereto shall not bccatuc of such cmploymcat be dLemcd to be m employer." vSGL chapter 152, §25C 6� also states that "every sLnte or 1DC31 Licensing agency shall withhold the issunncc or emewal of.a license or permit to operate a business or to coastruct buildings in the cozxrmontscalth for any applicant Who has notproduced•acceptable, evidence of compliance T)iLh dar insuraace coverage required." additionally, IviGL ohaptcx 15z §2SC(� sLalcs `Neither tiac commonwealth noz any of its political subdivisions shall Inter into any contract for.the performancc of public wort until acccpl7ble cvidcacc of couzplizuec a'ith the m° e ctj[zircmcnts of this chaptcrhave becnprescnted to the contracting authority." LPPUcants lease fill out Lhc workers' compensation af6daviL cotaplcicly, by checking t1ac boxes that apply to.your situation aUo id` cccssazy, supply j,*b-coatractor(s)namc(s), addrcss(cs) and phone nu obcr(s) along with tbcir ccl catc(s) of isvrancc: Linaitcd Liability Compa-aics*(LLC) or L united Liability Partnerships (LLP)with no cmployccs other than the rcrabcrs or par�ncrs, arc not rcquirccl to carry svorl:crs' corapcnsatiou insurar�cc. if an LLC or SJ�' does have aaployccs a policy is rcquircd. Dc advised that aiu; affidavit may bc. mbuuttcd to the DepaStrnC at Of Ind ustrzal ceiiient� for cons-�zm1t,on ofiwurducc covcrap. Also be sure to sign and daft- Lbe,2Chdavit. The nf6d�ivit should sretumced to the city or town that the application for the perrrnt or license is bcin.g rcqucslLd, not the Dcpaxtwrr of idustiWAeeidcn.ts. Should you have my qiu stions rcgardio.g the law or if you arc rrquirc6 to obtain a.worki— ,zxzptnsatioxt policy, plea o caJ.l the Dcpartmcni a.l:flan number lisLcd b6ow. ScJ instucd corxrpanics should eutcr flzcir J£innuzmco license aumber on the appropzjsrtc line. -- — —_-- ity or TowvP Offir ,als case be sure tbat the 3±5davit i, complete ivad printed Jcgibly, Thr,Dcparlmcnthas pro viclyd -a space at the botLoxa Lbc affidavit for you to fill out in Ltic cvcztt the Ofiicc o'f Tavcs-ti.gations h�js to coaGict you regarding the applicant case bn sure to fill in thepermit/liccnsc ni.0 abcr which will be nsc-d as a rcfcrencc nizrobcr. Ln addi.tiort, an ap licant p it must submit mUltiplo pczmit/liccnsc appLicaLinns in siny given yc;ir ntcd.only submit oaf, a-flldnvtt indicating curr (city or J cy zaa infoaa6oa(if r, ess uy) and under `Job Site Address" the applicant should write "all locatio.as in A cbpy of the a$tddvit that has bccn.ofEcially stamped or naarl.cd by the city or town may be provided txz tbo plicant as proof that a valid uffic avit is on file for fuhuc pc=its a bCcascs. A new afftdavii must be 61.1cd out cacti ax. Whcrc a home owoez or citizen is obtaining Ei J.1CCDEc or,permit not rrlatcd to any business o.r cozomcreial venture this affidavit a dog laccnsc orpm-ait to bum leaves etc.) said persort is NOT rcquircd to coroplctt o Oflacc of lnvestigaiions would lrkc la tli�.nl>you in ad),* CC for yourcooperation and should yolA have my qucsLions, asc do nothr!;A&t� to give us a call. Dcpartnacnt's address, tcicphoac,and fax numbcr. Tho Cbmmonwe{E1.th of. Mass-aGliusc tts Dq),vhn.ctat of Indus-trial AccldQnts of cce of Lu7tstigat40-ns 600 WasHagt-on Sect Boston, MA. 02111 Tcl. # 617-727-4900 ex.406 or 1-M-NLASSAFE Fax # 617-727•-7749 11-22-06 www.m ass.go v4 a c y,Tyvek Tyvek T velc Tyve � ,ow.a POW veky AlAA ve4� AL— ye b. /\/\�'''' � s9 �J � n z�� O , I ' . ; �� o �� a e ' v _. � � °� � _ •� .. °� `� 0 � �� . e �" �O�OD +�Y12�2 W i 11clau S Ro��A 4eq oq C)'6 s, I Go �s f y /y4� i � J YA r AX �. y `t4 + r*• 9 'R 1 � r ..AN Town of Barnstable 0fIHE T 4, Regulatory Services x Thomas F. Geiler, Director k IAfWSTAHLE, Mjq. $ Building Division prf0 Mtn Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 r�7nY.town,b arnstnbl e.ma.us Office: 508-862--4038 Fax: 5.08-790-6230 --�_-- Ho f.c,OWI\'ER I.,ICENSE EXEMPTION Please Print l DATE: �_ A JOD'LOCATION: — inamc ber street village „HOMLO WNW': t .S 0 — — 33q home ,one.tl^ ' work phone# CURitLNT MAILING ADDRMS: city/[Own -- — --- state _ np code The current exemption for"homeowners"was extended to include owner-oceu ied dwellin}'s oI'six`units ox less and to allow homeowners to engage an individual for hire who does :not possess a license provided that the owner acts as supervisor. DEFINITION OF EONECOWNER Person(s) who owns a parcel of land orn'which he/she resides or intends to reside, on which there is, or is intended to be, a one or hvo-farnily dwelling, attached or detached structures accessory to such use and/or fulir structures. A person who constructs More than one home in a tu10-year period sliall not be considered a homeowner, Such "homeowner"shall submit to the Building Official on a forrn acccprable to the Building Official,that he/she shall be resportsible for all such work Performed under t11e building per�zit. (Section 109.1:1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Codc and other applicable codes, bylaws, rules and regulations. r The undersigned "homeowner"certifies that.hc/she understands the Town of Barnstable Building DCpartrricnt minimum inspection procedures and rcquizements and that he/she will comply with said procedures and requirer _.. Signature of 1-fomcowncr Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. T-TOM,OwNERIS EXEMPTION T-hc Codc states that: "Any homeowner performing work for which a building permit is required shall be cxunpt from the proN�sions of this section(Section log.1.1 -Licensing of construction Supervisors);provided that if the homeovmcr engages a person(s)for hire to do such work, that such Homcovmcr shall act as,super eisor." Many homeowners who use this exemption arc unaware that they arc assuming the responsibdidcs or supervisor(sec Appendix Q, Rules &Regulations for Licensing Construction supervisors,Section 2,IS) This lack of awareness often results in serious problems,particularly ur Board canno(proceed against the unlicensed person as it would Huth a licensed when the homeowner hires unlicensed persons. In this cast,o Supervisor. The homeowner acting as Supav soris ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities, many communj6cs require,as part of Ole permit application, bilitics of a Supervisor. On the last page of this issue is a form currently used by that the homeowner certify[hat hdshe understands the respons . several towns. You may care t amend and adopt such A forrn/ccrtification for use in your community. OF'MEt Town of Barnstable µ e Y Zatoxy Services � LK Thomas F. Geiler, Director lbmk B ildin Division AjE'G µAy.b Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstablc.ma.us Office: 508-862-d038 Fax: 508-790-6230 P>`operty. Owlae:r Must Complete and Sign This Section If Usi- g .A. B uilde:r X - — as Owrl.er of l-.he subject.property aA i l.Zereby authorize _ to act on my behalf, in all.rnatters relative to work authorized by this build:i:ng peraaiit applicatiot). for: (Addi-css off ob) Signature of Owaet ----- Date Prim Name If Property Owner is applying for permit please complete the l lomeo:wxiers Lrceaae Exemption ):<oi:m orr tb:e reverse side, .-- -- 1 �_ 1 p � f�/, i 1 f �s . , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION p� Map Parcel IJCJ ¢, Application# 6 L03 L16(o Health Division Conservation Division `� Permit# Tax Collector ~, Date Issued �' h Treasurer �' Application Fee Planning Dept. � ` Permit Fee 26 Date Definitive Plan Approved by Planning Board �1 Historic-OKH Preservation/Hyannis Project Street Address + R 1(0 r-n U ma- Village Owner MAddress Telephone /� .=" �� 7N 2,G 0 Permit Request � �s L�} Square feet: 1st floor:existing proposed 2nd floor:existing proposed Toj new Zoning District Flood Plain Groundwater Overlay C-r' 'T ProjecrValuation- �d Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes �Ao On Old King's Highway: ❑Yes lwqo Basement Type: ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: Was ❑Oil ❑Electric - ❑Other Central Air: ❑Yes �ao Fireplaces: Existing New�� Existing wood/coal stove: ❑Yes �fflo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0No If yes,site plan review# Current Use Proposed Use VVL��t_jt9` BUILDER INFORMATION Name Telephone Number Address _qqQ0' n'J_ 75 Lice CL D Home Imp ment Contractor# Worker' mpensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO � CSIGNATF:0P� DATE (..p 2w?' �J FOR OFFICIAL USE ONLY ](i PERMIT NO. DATE ISSUED MAP/PARCEL NO. i i ADDRESS VILLAGE F ` OWNER ; i i DATE OF INSPECTION: _ FOUNDATION ® te- FRAME � ®f L Q " �l —� � -7 / INSULATION FIREPLACE G ELECTRICAL: ROUGH FINAL � PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. :+ r 4 c °FTME, Town-of Barnstable P Regulatory Servides * BARNSWM x Thomas F.Geller,Director MAM $ 1639. Building Division b Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: QdQv e f s . t116 1 Estimated Cost Address of Work: L2 A Nbmu A r Owner's Name: 1 l 15.ko 0 orr,_ t�L� Date of Application: js� 1-n-0— t:�� 2cn�. I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ,gOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORD DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I ere apply for a permit as the agent of the owner: to Contractor Name Registration No. OR anQ. 'Co f� ate e s Name Q:fo=:homeaffidav r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a d 600 Washington Street �= Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name( ndividual): Address:_In Af'1AhnnI4 "I City/State/Zip: 61co(l Phone.#: 7 133q Are you an employer?Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. 0 I am a general contractor and I 6. ❑New construction . employees(full and/or part-tim.e).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling . ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑Building addition i [No workers' comp.insurance comp. insurance.$ equired.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3-#1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13, ther�C( � comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify nde the pains and penalties ofperjury that the information provided above is true and correct Signature: Date: AS_ Phone#: 221, Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of(Health 2.Building(Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �Y Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver-or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance,%ith the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit shoulds be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number can the appropriate line. City or Town Officials Please be sure that the affidavit is complete yand printed legibly. The Department has provided a space ace at the bottom of the affidavit for you to fill.out in the event the Office of Investigations has,to contact you regarding the applicant. Please be sure to fill in the peiinit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number:. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02.111 Tel. ##617-727-4900 ext 406 or 1-877=MASSAFE Fax 4 617-727-7749' Revised 11-22.06 www.mass.gov/dia " �FSHE r Town of Barnstable Regulatory Services r r BABNSTABLE, : Thomas F. Geiler,Director 9 MAs9. 4iA 1639• Building Division TFD MIR-A Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: (r'/ JOB LOCATION: ao d dom NO— number let village E "HOMEOWNER": �-/ name ome phone# work phone# tl // CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to' be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"'ho eowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspec rocedures and requirements and that he/she will comply with said procedures and requiremen Signatur fH w r Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt I I j 77 : Co .. . . - _.: ... � I --- 1 , ©,V OF ..� A. p .�ac,�i -iov ' lY a��Jls f G'.�.2T/.may-�'•.:?';c,�,.47' T/1� S�/oWiv/1 .2EOXI 0.4 T6SEPr �3 A 2W5TA8 LC •�I it/!v /s itlb7` L.. OC.Q T�'L7 1y/Thi1,,V p T.Y� F.LOa�PG4/y_ a 4 XT,E�2s Try/S �.C.�lv%S i(/aT �g,QSEO Gov A�f/ �2EG/STE,2E0 L..�{.�/p.SU.eli6'y�ar� � A � Y agree�confor'm to all the .,,,•.=� OSTE,2Ji/�,[,�c a //�%/LA C ( f ITs"i 1 _ _"T �� "xr ' r o•' LOT o DEC IQ 00 --- =-5L,3.000 == r 000, LOT 4 ANTHONY , DRIVE R.E'S. ZONE "RC-1" This MORTGAGE INSPECTION Plan is For FLOOD ONE: "C„ Dank-Use Ong TO _HYA,N l-------------- REGISTRY OWNER: CAPS'CQA LM_IlNL7'Y FIo..USM, T7?I�s_� - DEED RED': _-----_ __BUYER: SCALE:1"-R30'T �FT. DATE: —0 1 �9------__-- PLAN REF:_47� -- - ----- - I HEREBY CERTIFY TO �6NI�811T�1Y�1V dam- -_ t�06 ^TI1AT TIME BUILDING �, YANKEE SURVEY -_ - - -- -- --- OUND AS SHOWN ON THIS PLAN IS LOCATED ON THE GR, �9 � G CONSULTANTS SHOWN AND THAT ITS POSITION DOES CONFORM TO THE ZONING LAW SETBACK REQUIREMENTS OF .TIME mvmm 143 ROUTE, 149 TOWN OF B,4LZNSABLE---_ _--_,-AND_ THAT ��. MAhsTONS MILLS, MA. 02648 IT DOES_ NOT — LIE WITHIN THE SPECIAL FLOOD HAZARD TEL: 428-0055 T I9 .5 _ FAX: 420--�5553 AREA AS SHOWN ON THE H.U.D.. MAP DATE _.,� — ,� � L5.0001 0005 C THIS PLAN NOT MADE FROM RUMENT _ 27504 DPG pAU A MERI' W f� �^ SUR�IEY NOT TO gE USED FoR FENCES- ETC. - TOTAL P.C1 QUOTE- C Aued Le. Pne: CARDONA Page 2 of 2 No. 261 .107820 .., Ox{Y"y �• vn 411 p MY rSlCoieG ;-a.:'>,:.'•`n: REF#VZS STOCK MERCYANDISE TO BE DELIVERED: WOMEN �x-r �Z�q tx.v�__ :v£.yxk.•. �„Y rx,".", fiz'A' �."s?+ x r:::' ...,n\.af;Sil�_�•gg roSX• s.L...:. .p,x. 7 ,H -• H yE.p •ti 33 *fix ,� w£ ».'.r%ii z' wrH .�A\ #»` o -C•iR ,.x-s--.':3 C ;tiG�' r r v.:' 7��C'n`'#:�y��•v»��'S•n .3».fix•.�r`�r. �f$��.G@.��r As., $'f �' £a� �.rc w,.k v- e• 'v .9 R� R' ". �:ovs�- ,Ep Cx: '` x-� �' f ..i g� , as Y nz s�c.'7 �. :��5�::'@�''i;`.:� n'rry. b_ 8 �k• '$- wx»C'�x3P,� � t � Y��.F�• �'x'°''`.:' ,'.f#. � o R19 144-834 6.00 EA FS COM ALUM WHITE 10' 1 Y $5.94 $35.64 0 �.. R20 929-291 9.00 BD ROYAL SOVEREIGN 26YR.CHARCOAL / Y $13.73 $1 23.57 0 a R21 1 423-688 1.00 EA BINX50FT ALUM FLASHING 1 Y $16.47 $16.47 m R22 524-959 8.00 EA B"X1l2 HOT GALV ANCHOR BOLT 1PC / Y $0.93 $5.58 co R23 702-078 7.00 EA 1 X8X16 PRIMED FJ-PINE ! Y $27.65 $193.65 R24 702-638 2.00 EA 1X4X16 PRIMED FJ PINE ! Y $13.98 $27.96 R25 977-1 15 3.00 EA WEATHERWATCH WlPRF UNDERLAY 150SQ FT/ Y $55.00 $165.00 MEACRANOISETBTAL $2,181.03 -N " )•1.,1. �-w�K1¢Y Mlillaffl i V26 515-883 1.00 1 EA I CURBSIDE DELIVERY SERVICE N $69.00 S59.00 DELIVERY SERVICE SUBTOTAL: $59.00 t r g CARDONA, EVILLY JO ADDRESS:16 ANTHONY DRIVE CITY.HYANNIS STATE: MA ZIP: 02601 COUNTY:BARNSTABLE SALES TAX RATE 5.000 PHONE: (508) 776-1339 R$2F[,24Jy0.03 ET-. 1 .n.,,+ +010;��x"btA .• . .`.. O �:�'+.i�' � `� ;, 3FsYJ'{{n,.b A...,. as". >.G_••j £ ,." ,... .,�• t•a;�o. tn•'n i\.M!....!' '�Si � ?. i 02,240.03 SALES TAX $109.05 TOTAL $ k,..:.,n:. an... ... A E;EDUE ..., .;x nr.k ,,.n. ! ... lnx \...v.�o:'.C';....,.a '�'9• a >.•...,u a r.';n;i ;�.i:.: ii y^�pn .:,............ .\...: .4+x,,:r�'.n.Yinf:•r�l ,.�".:'`. :\...."...:+>,::.,.vni-". �. Y`„\r rv\" K�.E��>�R•9�::�lo` w,,..,.. ..!,r•r:a}Y.3'.`;,; �?i•'va .N:u.,..x va LA MH,Ak...n,�>..\n.,...e).. v. LL 1 0 0 N ' 1 Z 1 0 'age 2 of 2 No. 2612-1 07820 1U0TE , Page 1 of 2 No. 261 ;107820. tore 2612 HYANNIS Phone: (508 ) 778-8948 65 INDEPENDENCE DRIVE Salesperson: AG96GS HYANNIS, MA W2601 Reviewer: e i 0) 0 Marna _ .^^. }} TF ...' co c - Hcm.PMre ' �1.f.U0 f E ; - ARQ NA � BILLY JO (5081773 t339 aaaresa 1 i 6.ANTHON RIVE . work Phone (} _ r Camparty Name F- • crcv 0_ YANNIS Job Demipm I state DECKING j i MA *_ 21P 02601 county BARNSTABLE :2807.06•9516:32 o Prices Valid Thru:0610612007 MO -__---=--------------------- --- r p, r` � ' :4 ..h w;w: k `a•T�A^>' �i S�i, *,na'p:. WBrChSBI�S SOf(1�ht CU Mit the quenttt es of yg • MERCHANDISE AND SERVICE SUMMARY m an i a g .x . .- ; '�a; - .T' REF�1I26 ; S C M R NANDISE TO BE DEVVEREO: - .> arse;k�i' „„'%'.'"'H•�bq.h.;x:�.- •c- -�y�, (( ff((. �..:. x,.. _ i ,'f�: N.Y.�.'�. �.µ`, f' S.'� yyy¢ S-� E'.. L'•� $, ai:it::. Yp �.$ }p xw :: h .-n. K,:\":S!:r. .-i r'"�.•... '_V� S dt- �.�IM #- -r .M iffi +x• Kin 3A.+AA ly, S4. Xxl, •:bq ,A1t`'gW "•' k�`L,�"S. _' a %Y N \• ,:5.:. ,LS-t�`. x-- v'3. �'i.�i i. �•£ .�--. i'3C-'n-n�e.�YY. . ' ,•:_v_ p r .v •�i R01 50-931 -6.00 EA 6X8-12 #2 PT 1 Y $32.97 $197.82 R02 55-959 1.00 EA 2X12 12 #2 PT ) Y $24.97 $24.97 R03 55-781 7 QU _ EA 2X i 0-12 #2 PT ! Y 016.97 $118.79 R05 55-957 0 8. EAj 2X10-16 #2 Fr 1 ,y Y $23.97 $191.76 Roe 54-258 124D EA '2X4-8 #1 SYPPT 1 Y $3.29 $39.48 RO7 57-974 2. EA 4X4-10#2 PT ! Y $1 1.97 $23.94. R08 30-792 2 1 00,61D EA BALUSTER- 2X2-361N. PT Y 0.19 $119:00' R09 4-327 1.00 EA 15132 4X8 PT.CDX Y $23.97 $23.97 0 14-636 6.00 EA 121N X 181 R CRETE / Y 07.97 $47.82 1 9-777 6.Q9 EA P866 SE Z-MAX 1 Y 1 $12.86 $77.16 2 2 1-128 16• E1ViD'2X10 JOIST HANGER ZMAX / Y $1.34 $21.44 C3, 183 1 8`793 0 36 642FT THOMPSONIZED DECK PT / Y $9.97 8348.95 R)4 1 1-750 A 2X6-12FT. #21BTR KD-HT SPF ! Y $6.20 $43.40 5 - 1 1- 00' EA 2X4-12FT.STD/BTR KD-HT SPF / Y 53.88 $31 A4 ® . 6.0 EA 2X8A 6FT. #2/8TR KD-HT SPF / Y $10.83 $64.98 7 2 -355co 10.1� EA 15/32 OR 112 4X8 RTD SHTG-SYP 4PLY 1 Y $14.97 $149.70 0 8 1 9 7$5� F- 24.66 EA 80LB.GUIKRETE CONCRETE MIX / Y $3.71 $39.04 N 0. o ~ ,x• ,... n ` � � � •,,....„���E,;~U�1�.4�IlfON:IV�tfi�!A�iE�'ag� •;�,�'' 2 D age 1 of 2 0. 612-10782 Jul "t) Jul. 19. 2007 5:12PM Taunton HR 5087751339 No. 5230 P. 3/3 are5s, g '00, i LOT 3 0 o ti LOT .w ,2 o DESK ,W e 40 LOT �� 68•p2 sc ANTHONY DRIVE RES. ZONE. 'RC—.I" MORTGAGE INSPECTION elan is FoVISOnt FLOOD ZONE. eC" TOWN: _H ___REGISTRY OWNER: "pm-caxwarY1Lo��1l� �81 DEED REF: BUYER: -91L1Zr- JO IIIIFEDI DATE: _d117/_9_9_-_____------ PLAN REF:-4K73h ---SCALE:1"=-30'- FT. I HEREBY CERTIFY TO 11LA4______�__ THAT THE BUILDING f SHOWN ON THIS PLAN IS LOCATED YANKEE SURVEY THE GROUND AS ,,;;+��� CONSULTANTS SHOWN AND THAT ITS POSITION DOESS CONFORM TO THE ZONING LAW SETBACK REQUIREMENTS OF THE .. Qfe �'yddY w 143 ROUTE 149 TOWN OF fiAWST.9W -__--_—__—AND THAT a "I~,. ?QBm MARSTONS MILLS, UA. 02848 IT DOES OT LIE WITHIN THE SPECIAL FLOOD HAZARD ���9q• F TEL 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED�.(D�B_5 � `=�'� FAX 420— 53 25 0005 C i4s ^__y r7MMIS PLAN NO FROM AN LINSMUMENT 27504 DPC VEY OT TtIi—BE-USEQ—BE—US FOR LI: CES ETC. V Auk OA r f, .......... p f ,- ' f trz wool s� O�iS 'IN H uOlunel Wdll :S LOOT; '61 'lnf gl _ r+ Town of Barnstable F BAIRS,-A8LE . Regulatory Services f19 OC T Zg .P . ' BAPIWABLE, ' Thomas F.Geiler,Director 9O iMASS. °OrEn ray a Building Division Tom Perry,Building Commissioner i!i'�Jsib 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF WITHDRAWAL OF LICENSED CONSTRUCTION SUPERVISOR FROM PROJECT I, , Construction.Supervisor License # hereby certify that I am.no longer the Construction Supervisor listed on the application for the project under construction as authorized by building permit #-)c0&o33 W ,issued to (property address) ,nn is vv\A on (a-ail , 200 9-. I also certify that on(X-A plr,, 25 , 200 9 , I notified the property owner, that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of.the Building Division. LICENSE H DE DATE gdorrw/newcontr reference R-5 780 CMR TOW OF BARNSTABLE Building Department - Founda ' Permit D to , � I � � F� Per ara �+ ame � , vc� ca L z 1. cation A /i Insp. of Bldgs. y, INEr�, TOWN OF BARNSTABLE Building.��ti Application Ref: 200802747 * sAxxsTAs�, Issue Date: 06/19/08 Permit 9 MASS s639• �� Applicant: GONZALEZ,ROBERT Permit Number: B 20081269 AjFO MAC A Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/17/08 Location 16`ANTHONY DRIVE Zoning District SPLTPermit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 272002003 Permit Fee$ 153.00 Contractor GONZALEZ,ROBERT Village HYANNIS App Fee$ 50.00 License Num. 95214 Est Construction Cost$ 30,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ATTACHED.GARAGE 15 1/2 X 32 WITH ONE BR,BATH&KIT APT AlOWHIS CARD MUST BE KEPT POSTED UNTIL FINAL (1024 so INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPAI\ REQUIRED,SUCH ' Owner on Record: HUFFAM, BILLIE10 BUILDING SHALL NO CC TIL A FINAL . Address:. 16 ANTHONY DR INSPECTION E. HYANNIS, MA 02601 Application Entered by: PR Building Permit Issued By: 01 THIS.PERM IT,CONVEYS.NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR' . PART T ITHER T" ORARILY.OR RMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,'NO SPECIFIC 1.ALLY PERMITTED UNDE E BUILD DE,MUST BE A OVED B E JURISDICTION. STREET OR ALLY GRADES AS WELLiAS DEPTH D`LOCATION,OF P' IC SEW Y BE ED FROM TH E OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT REL E THE'APPLICAN ROM THE CO S OF APPLICA BDIVISION'RESTRICTIONS., MINIMUM OF FOUR CAL ECTIONS REQU D FOR ALL TST' CTION WORK: 1.FOUNDATION OR F 2.ALL FIREPLACES ST BE ECTED AT T THROAT L EL BEFO FIRST FLUE L ING IS INSTALLED. 3.WIRING&PLU G INSPECTIONS TO BE CO: LETED P OR TO F E INSPECT 4.PRIOR TO COV ING STRUCTURAL MEMBERS ADY T LATH). 5.INSULATION. 6:FINAL INSPE ION BEFORE OCCUPANCY. WHERE APPLI ABLE,SEPARATE PERMITS ARE RE RED F CTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHAL OT PROCEED UNTIL THE INSPECTOR ` S APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT L BECOME NULL AND VOID IF C NSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ERMIT IS ISSUED AS NOTED ABOVE. PERSONS CON ACTING WITH UNREGISTERE CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). All Ow; BUILDING INSPECTION APPROVALS PLUMBING INSPE TION APPROVALS E ECTRICAL INSPECTION APPR ALS 1 _ 2 T42 OPP .ot goof 3 1 Heatig&Inspection App als Engineering Dept Fire Dept. 2 Board of Health i 1 fi'-d3" (3)1-314"x 11-7/8" BE itA SUPPORTING CEILING WA 1.1718",SCi-60 I-JOISTS AT 16"©1C I f?1pa 1x.,� ly fl -� t r , -- iv -4 , i } r 00 TO { SG 7` 4 1 i f � f S'�nee�°e�1J } { l�R 1 � � i 4p kf��-a te t,; 1` ►�c l�40 A _,_... �•✓",a� :s�=' 1 A j•�,�nf(. .C.� Y 6. .e e,e.1 0 1V to, .' eel d He k7 ,-' 'i f _� :�..;,._h..�..�..........._.,�...,__ -,v_�,_. j :�__ ...,,,...z.., ,.< �_..,�.,.�...___�,..._r — u��`a p3" C�r'at�•�w� ;i�,�4T`r,E,.'ir,� Irk 1 j �T- G�S VIA It At r Tar to c; fti , j G7 fikaex V.1 =✓t'.: // Cra�v�c� �alrfowt S ial i , oaNe� All yertwav5� ,.•: ,: , I ��la GfJP1nEMf r r �,t� : 1s-o� (3)1-314"x T 1-718" LVl RTr 0 CA. 32'-T lo . ®aK r 13 TO L 0 cnl= dye'- r ," S%tEi y„� "Tip ��► k E g i F } gg i 7 Y f i r 3 N3 n I / R J' f . 9 .yca ��id•� !qa � ( 14X9/ 1Jfv1 } t 1 i }( 3 } { 1 { j j D'V! V/�� t A e9 Tam ' f t 4' �t4b ©4 � T q Wes 7f 1 C ! IN C/O, J. r-- CA � P o r 1 C� Assessor's office(1 st Floor): Assessor's map and 01 lot number 6aL O a:/oZ. �U�t //A J o� ?'�� o y THE to`i Board .Health(umber r): Sewage. Permit number t Desasrant t S Engineering n Department 3rd floor House number P °o t639. Definitive Plan Approved by Planning Board APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only• /V1 . TOWN I OF , BARNSTABLE A P P:R O V E D VILDING ',INSPECTOR BarnstablvCo:lzervation Co4, \\mo�m'�i.���s''..''.��_t V R P�RIOfITTO' 1 GL J�� iy2�y�Q /��:(iy -4 %k Signed Date TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 3 Proposed Use Zoning District /, + (mil 1 v4 Fire District ��'�n� 1 Name of Owner �f C 1i r Address `dt/ ! 6-03 Name of Builder Address Name of Architect Address Q Number of Rooms Foundation l 4 Exterior Roofing (�G Floors Interior Heating PlumbingV Fireplace Y d�t/ Approximate Cost 7 fir/ Area Diagram of.Lot and Building with Dimensions /�p�� Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License CCHT 34591 1 ., No Permit For .1.3 S'tor�z _ Single Family+ Dwe. { +; nq , Location` Lot #3 , '16 Anthen)Z Drive Hyannis i -owner CCHT Type of Construction FRam.e` Plot � Lot i Permit Granted September. 25 . 19 91 # r Date of lns coon � � 19 - Pe ®D Co pl ted 3 19 P s R ' L' j r r , v w , f t y 1 - ILL W4 - } t t- i 77 cE:e7`4 i7/ y-e•••7 4 1AT•T.�1� t�ia�,��:T�eel, �: �-4 Y 9�J�11 S SETBAS Gd/Thy ; S'CA L G c� 4.4TE SEPT- ' 9 i Zd A/2i115Ta8 CG : IV is �tlaT �•aC,4 T�',G� •LJ//Th//rt/ Th��j �.LOa�PL�4/!' �/ EA XT,E.0 7'/�/S �,Lf1.v/S i(/a�-'•B,�ISEO'G/%,4i(/ r2EG/STE.2E0 �p�SU.eI%c"yor� USE1� 7"� OET�, j/NE .�>T •/i(/�S AG.�.L/C,Q/t/T t�j AA- j }> ! Eli ' t L-j t'1 Jill ! I i f { i i Pi - 1 i t f i LlI { ;12 e L7 �L :�ltLl � GL-CS 777777 - . r Y8 a3VOR99A 1�l.} 1�, 3JA32 ; W �...:(.�'rlQ :3TAU z. t a n r F . T` x T•��. .r 5 e*r, t' t f{ n - 7 f _ Y ` vfr L o-x f ,z � ' Yr t 2�44 - 244� I r 71D _ Q to �OD 3 h tj LU f , .I 46 � N Cl N O Lj 6� nl i i ro m a t r - N � i N vn(A-. W .p o n it - o - p N , tA OD 1 ' o_ `r I i � i. _ m � � � � �-. � � o: _� � � i r - � � .. 1 � � � _ . : � �� _ _. � _ E r � � E ►C � e ��_ .; _ - . � �_ � � �i �.�; � .1� �_ �N� � I� X- ! �. ► =� � � _ � o � � � � � � � �� I - � c � � � N ! I I� �- � I - i � �� _ _ -_ _. __ � j �� N �_ o: a d: _ . .d - . - � d_� __ _ N - r� � --� -- _ �i 1"f pf THE>0 TOWN OF BARNSTABLE Y Permit No. 34591 BUILDING DEPARTMENT TOWN OFFICE�UILDING Cash i6f 9• / // •/„�a�Y' HYANNIS.MASS.02601 Bond .:..X...i.�.. CERTIFICATE OF USE AND OCCUPANCY Issued to Cape Community Housing Trust Address Lot #3, 16. Anthony Drive Hyannis, Mass. USE GROUP _ FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON. SATISFACTORY COMPLIANCE WITH ,TOWN REQUIREMENTS AND,IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Decembe r 4 I9.:.. ............ . Building Inspector eq •'TOWN OF BARNSTABLE, MASSACHUSETTST w ; A-272-2 DATE Se Utf3ITl� 'n25 APPLICANT B S].til@ �itxildlnCr EyCO 19-9 ADDRESS Box , 92 Cei PERMIT TO 11Ci Dwelling - (No') - (srREE,, 1 1q (TYPE OF IMPROVEMENT) (�) STORY. Sir1gla jyc:iTll•L r' Dwc,jJ N0. EION) L:t :: (PROPOSED USE) t 16 Anthony rive, Hy anni(STCROSS STREET) _ AND .. - SUBDIVISION L07 BLOCK LOT. _ BUILDING IS TO BESIZE y FT. WIDE BY . �--FT. LONG BY ., FT.,IN HEIGHT AN TO TYPE � ... .. ..} .. USE GROUP BASEMENT WALLS OR FOUNDATION REMARKS: Towrl Sewer #2518 1 AREA OR VOLUME 816 sq, (CUBIC/SOUARE FEET) ESTIMATED COST $ 60, 000.,00 PER FEE OWNER CCHT ADDRESS Box 60 LSii �. rnsi: aL7J BUILDING DEPT. BY THIS_PER.MIT CONVEYS N0- � PERMANENTLY. RIGHT TO OCCUPY ANY STREET y PROVED BY THEEJURISD CTIpNTS ON PUBLIC PROPERTY, ALLEY OR SIDEWALK - .. NOT SPECIFICALLY p OR ANY PART THEREOF• EITHER T;FROM THE APPLICABLE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE T STREET OR ALLEY.GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MA' OF ANY APPLICABLE SUBDIVISION'RE57RICT.IONS, PERMITTED UNDER THE BUILDING COD1 MINIMUM OF THREE CALL HE APPLICANT FROM T, . INspEcrloNs REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE aPpucaBLe, ALL CONSTRUCTION WORK; E»+�,�, 's..•• LU I• FOUNDATIONS OR F - CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN 2. PRIOR TO COVERING OSTRUCTURAL GS MADE• WHERE A CERTIFICATE OF PERMITS ARE REQU47�, MEMBERS(READ,Y T QUIRED,SUCH BUILDING SHA OCCUPANCY IS RE- MECH ANLECTRI CAL,INSTALLINT 3, FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE', OCCUPANCY. LL NOT BE OCCUPIED UNTIL POST THIS CARD SO IT IS VISIBLE F BUILDING INSPECTION APPROVALS FROM S T R E E T � PLUMBING INSPECTION APPROVALS. ELECTRICAL INSPECTION APPROVALS z 2 kpl- 3 HEATING INSPECTION APPROVALS \ ENGINEERING PARTMENT BOARD OF HEALTH OTHER S/B SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERM ,ULL AND TOR HAS APPROVED THE VARIODUS STAGES OF WORK T W!LL BECOME ISNOT STARTED WITHIN VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE WITHIN SIX MONTHS OF DATE THE PERMIT fS ISSUED AS NOTED ABOVE.CONSTRUCTION. ARRANGED FOR BY TELEPHONE OR WRITTEN NOTIFICATION. S f rx li` KIM QQ Q �k F - - a - h - Mani lnm V000waysm owns; SAW K ja- b, a;V74 An y ` .. - «4 f! ROOT Act E , k 3� 5087751339 p.1 Town of Barnstable �+sy� Building Department Brian Florence,CBO Aw bMS&Lz`g Building Commissioner i� r F�0 200 Main Street,Hyannis;MA 02601 www.town.b arnstab le.ma.us Office: 508-862-4038 Fax: 508-790-6230 r---J —+ _ Town of lamstable 6YAffid t I,being on oath,depose and state as follows: 'o n My name is I am ffi owner/ ident of e property located at: r- NOrr+ The following members of my family Aril] be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner. 1�i.�j Wl'Qi The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also imposed b the ZBA Special Permit understand that I am required to comply with all conditionsp y P and/or the Town of Barnstable Zoning Ordinances Section 240-47.l Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no Ionger Pa.mip wtment at this location,please explain: ent has be dismantled. The apartment h een e Amnesty Program (Appeal No. ) Other Sworn to under in d enalties of perjury this�_ day of-11 2018. Signature Phone Number Print frame ' q:forms/famaffid.doc rev 11/22/2017 .a Town'of Barnstable Regulatory Services i s - • BMWffrABM • MASS. Richard V. Scali,Director i639' ♦0 iOrEn3�a Building Division Paul Roma Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 February 23, 2017 Billiejo Huffam 16 Anthony Drive Hyannis,MA 02601 Re: Family Apartment ' Dear Mr. Huffam, Please complete the enclosed Family Apartment Affidavit and return it to the Building . Commissioner's Office by March 1,2017. You are required under Section 240-47-1 of the Town Building Zoning Ordinances to submit an affidavit annually indicating the status of the Family Apartment. Failure to submit the affidavit is a violation of your Family Apartment approval and may result in the loss of your rights. M If you have any questions,please call Brenda Coyle,Permit Tech., at 508-862-4039. Sincerely, Paul Roma s Building Commissioner Enclosure /blc i Town of Barnstable Regulatory Services MUMSTABM MASS. Richard V. Scali,Director AIEo i it 6 1 Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs : Office: 508-862-4038 Fax: 508-790-6230 , January 26, 2017 - Billiejo Huffam, 16 Anthony Drive Hyannis, MA 02601 t Re: Family Apartment Dear Property Owner: ` Our records indicate that Billiejo Huffam is the owner of the above-referenced property. Therefore, the Family Apartment Affidavit I.received on January 23,.2017 is not valid, and •must be completed and signed by Billiejo Huffam. , t Enclosed,please find a Family Apartment Affidavit. , If you have any questions,please feel welcome to contact me at 508-862-4039. Sincerely,_ Brenda Coyle ' w Permit Tech. Town of Barnstable • Regulatory Services oFj"E Richard V. Scali,Director °* Building Division r r r # ' '"R'''„& Paul Roma,Building Commissioner Ar 059. � 200 Main Street, Hyannis,MA 02601 ED MIS www.town.barnstable.ma.us Office: 508-862-4038 a Fax: 508-790-6230 Town of Barnstable Family,Apartment Affidavit I, being on oath, depose and state as follows: , My name is I am the owner/resident of the property located at: The following members of my family will be the.sole occupants of the Family Apartment at the aforementioned address: Name&relationship to owner: Name&relationship to owner: The Family Apartment will be the primary Year-round residence for the above-identified` family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing.Iunderstand that no subletting or subleasing of said Family Apartment is permitted. j I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment.I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit s and/or the Town.of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury.this, ` day of 2017. ; Signature Phone Number Print Name q:forms/famaffid.doc rev 11/08/12 i Town of Barnstable Regulatory Services oF'I"E>oyti Richard V. Scali,Director °* Building Division MIUI9EARN '. Paul Roma,Building Commissioner 4� 163� .• AIFp�. 200 Main Street, Hyannis,MA 02601 , . www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: MY name is I am the owner/resident of the property located at: Ab d o f Nhe following members of my family will be the sole occupants of the Family Apartment at the f rementioned address-. e^relatio 'p to owner: L ti, kAuLNLO I kme g relation�[� p to owner: o M Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said F Family Apartment is permitted. i I understand that I am required to file an Affidavit annually with the Building' Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit andlor the Town of Barnstable Zoning Ordinances Section 24047.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If mere is no 'longer a Family Apartment at this location,please explain: - The apartment has been dismantled. The apartment has:been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this Ca day of rA 2017. Sign Lure Phone Number Print Name R�, S ( ; q-,�F3� q:forms/famaffid.doc rev 11/08/12 Parcel Detail Page 1 of 4 Logged In As: Parcel Detail Thursday, January 26 2017 Parcel Lookup Parcel Info Parcel ID 272-002-003 I Developer Lot ILOT 3 �I Location 116 ANTHONY DRIVE Pri Frontage Sec Road Sec Frontage Village 111yannis .. Fire District JHYANNIS it Town sewer exists at this address Yes I Road Index 2223 mil Interactive.Map Owner Info Owner JHUFFAM, BILLIEJO Co I Owner I k Streets 116 ANTHONY DR Streetz City 1HYANNIS I State IMA I Zip 02601 Country I ` Land Info ,. Acres 0.31 I Use Single Fam;MDL-01 ( zoning SPLIT RC-1;RAH I Nghbd 0105 f Topography ILevel I F Road [Paved Utilities fAll Public I : Location . I Construction Info 7771 Building 1 of 2 Year 1991 Roof Gable/Hi Ext Wood Shingle Built��I Struct p I Wall� I 12 Living r1619 Roof As h/F GIs/Cm AC None �� 6 7."� Area^ Cover p :Type wot;79 1 ' Style Icape Cod Wall Int D Rooms rywall Be,13 Bedrooms 19 3 .TrfSf Int 'Bath GAR FHS Model Residential Floor Carpet Rooms 2 Full-0"Half se�rizl a eAS, =z: Grade Average Heat Hot Water' -) Total 6.Rooms Type Rooms 34 J Heat Found �.�� Fq Stories 1.4 Fuel Gas anon Poured Conc. Gross 4138 w Area Building 1 of 2 Year 2008 I Roofreble/Hip.. I Ext Wood Shingle Built Struct�' Wall Living 1619 = J"Roof Asph/F GIs/Cmp A Area C None i Cover Type II style Garage/Quarter wall Drywall Rcomds 3 Bedrooms r' Model residential J Int Bath Floor Carpet " -Rooms 2 Full-0 Half " y , http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20627 1/26/2017 Parcel Detail Page 2`of 4 Grade Average Heat Hot Water Total 66 Rooms g�VD 9 I Type��I Rooms^ I 19 _ Stories 11.4 Heat Fuel Gas F ation Poured Conc. s z se uP ens 4 RMT 'v2 Gross 4 I Area138 34, Permit History Issue Date Purpose Permit# Amount Insp Date Comments 11/14/2008 Addition 200806131 $300 .1/1/2009 12:00:00 AM 6/19/2008 Addition 200803385 $30,000 10/10/2008 12:00:00 AM 7/23/2007 Addition 200703486 $5,000 12/3/2007 12:00:00AM PORCH 9/1/1991 Dwelling B34591 $60,000 1/15/1992 12:00:00AM HY LOT#3 Visit History Date Who Purpose 4/29/2010 12:00:00 AM Tony Podlesney In Office Review 6/19/2009 12:00:00 AM Tony Podlesney New Construction 3/16/2009 12:00:00 AM John Greene Permit/Hold as NewGrth 1/26/2009 12:00:00 AM John Greene Bldg Permit Completed 10/10/2008 12:00:00 AM Mike Keating New Construction 3/24/2008 12:00:00 AM John Greene In Office Review 12/3/2007 12:00:00 AM Paul Talbot Cyclical Inspection 6/14/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 4/14/2000 12:00:00 AM John Greene Cycl Insp Comp 5/15/1992 12:00:00 AM Lloyd Kurtz Sales History Line Sale Date Owner Book/Page Sale Price 1 9/10/1999 HUFFAM, BILLIEJO 12534/277 $92,000 2 7/1/1999 NC APE COMMUNITY HOUSING TRUST 12382/73 $92,000 3 9/15/1992 CONTRE, DENNIS & DIANE 8190/345 $80,500 4 10/15/1991 CACPE COMMUNITY HOUSING TRUST 7716/162 $1 IN 5 8/15/1991 CAPE COD COMMUNITY HOUSING TRUST 7631/300 $1 6 8/15/1991 BARNSTABLE HOUSING AUTHORITY 7631/228 $1 7 11/15/1987 BARNSTABLE HOUSING AUTHORITY 6007/52 $1 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20627 1/26/2017 Parcel Detail Page 3 of 4 • Assessment History Save Year Building XF Value OB Value Land Value Total Parcel # Value Value 1 2017 $82,900 $31,700 $3,500 $74,900 $193,000 2 2016 $82,900 $31,700 $3,500 $75,400 ,$193,500 3 2015 $84,700 $37,300 $4,200 $72,800 $199,000 4 2014 $84,700 $37,300 $4,300 $72,800 $199,100 .5 2013 -$84,700 $37,300 $4,500 $72,800 $199,300 2012 $89,300 $32,200 $3,500 $72,800 $197,800 7 2011 $133,000 $8,100 $800 $72,800 $214,700 8 2010 $187,700 $14,100 $1,100 $104,100 $307,000 9 2009 $140,900 $1,900 $500 $140,700 $284-Mo 10 2008 $129,800 $3,200 $500 $146,600 k$280,100. 12 2007 $129,200 $3,200 1$500 $146,600 $279,500 13 2006 $130,900 $3,200 ' $50.0 $147'100 $281,700 14 2005 $124,300 $3,200 - $600 .- $133,200 $261,300 15 2004 $111,000 $3,200 $600 ' $133,200 -$248,000 ' - 16 2003 $671500 $3,200 10 m $37,700.. $108,400 17 2002 $67,500 $3,200 $0 $37,700 .$108,400 18 2001 $89,600 $3,200 $0 $53,900 $146,700 19 2000 $69,600 $700. $0 $.16,500 . $86,800 20 1999 $58,800 $700 $0 $16,500 $76,000 21 1998 $58,800 $700 $0 $161500 $76,000 '. 22 1997 $52,300 $0 . . $0 $13,200 ,< $65,500 23 1996 $52,300 $0 $0 $13,200 $65,500 24 1995 $52,300 $0 --$0 -6$13,200 " $65,500 . 25 1994 $57,000 -$0 $0 $20,800 $77,800 26 1993 1 $59,300 $0 $0 $20,800 $80,100 Photos G . http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=20627' 1/26/2017 91 l JO/zoos � •.17/G3200T �7'�� .f AW '�'�I•pl 10/10 (N+ 4 ?• s . ...r•4 ^c:..` pt^ds�t.'-_��-.s'�f', ..i: A46!RRrtcr •Ae o, 10/2. I I • I , . I , r l � ' l i Town of Barnstable Regulatory Services of Richard V. Scali,Director . Building Division A ` IZ, ' Paul Roma,Building Commissioner 059. � 200 Main Street, Hyannis, MA 02601 _ - www.town.ba rnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 ' Town of Barnstable'Family Apartment Affidavit I,being on oath, depose and state as follows: My name is I am the owner/resident of the �2 property located.at: Ai .0 Wyx a -- al e fo lowing embers of my family will be the sole occupants of the Family Apartment at the 9orementioned address: dame rc relatio ship to owner: Ngme 4-�xelatio hlp to owner: T ai zmily Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. ;. I understand that I am required to file an Affidavit annually with,the Building ` Commissioner listing the names and relationship of occupants'in said Family Apartment. I also . understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section•240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there,is no longer a Family Apartment at this location;please-explauii: --- �-«� ArO The apartment has been dismantled. The apartment has been transferred-to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of '. 2017. SiSiture �Q Phone Number Print Name q:forms/famaffid.do c rev 11/08/12 Town'-of Barnstable - - Regulatory Services of Richard V. Scali,Director Building DivisiogWN OF BARNSTABLE Paul Roma,Building Com, ssioner A '0hw 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 x; 1 �.a Fax 508-790-6230 .� .S i a.t Town of Barnstable Family Apartment Affidavit I, being on oath,,depose and state as follows: _My name is I the owner/resident-of the e P ro - -�ertY c�eated'at�_- -- --- - --- _ .� P J (D ;The following members of my family will be the sole occupants of the Family Apartment at the- Caforementioned address: - ,Name &relationship to owner:l I .Name &relationship to-owner:.N The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building. : Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit, and/or the rTown of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. r If there is_.no-longer a Family,Apartment at this location,-please.explain: _- - The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other, tS r de -- enaeo � aY-of 017:-nn Jm Y-h ? ar CSi .,A,%J�� gna {Ph e Number CPi7nt Name Q .F` q:forms/famaffid.doc rev 11/08/12 f Town of Barnstable Regulatory Services s oF1HE Richard V. Scali,Director Building Division sAWM�� ,,�, Paul Roma,Building Commissioner �'0hw ►��$ 200 Main Street, Hyannis,MA 02601 www.town.barnstable ma.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit m I,being on oath, depose and state as follows: My name is ��� L'C�L= ` L� L" � I am the owner/resident o the property located at. The following members of my family will be the sole occupants of the Family Apartment at the ` aforementioned address: ; Name &relationshipto owner: 0L l�/U�/1 AL L.L- /'L`;i'�G�L' Name&relationship to owner: �U�l�f L^ The Family Apartment-will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said .Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said.Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. -If there is no longer a-Family Apartment at this location,-please explain: = The apartment has been dismantled. The apartment has been transferred to theAmnestyProgram(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 41' 2017. Q_ 776�3ZIA'--) Signature Phone Number - Print Name } q:forms/famaffid.doc rev 11/08/12 Town of Barnstable Regulatory Services BUILDING DEPT oFTME � Richard V. Scali,Director _ Building Division FEB 2 8 2011 RAMMMIX * Paul Roma,Building Commissioner TOWN OF BARNSTABLE MAM o '� 200 Main Street, Hyannis,MA 02601 R www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Town.of Barnstable Family Apartment.Affidavit I,being on6ath, depose and state as follows: My name is I am the owner/resident of the property located at: ,W tj The following members of'my family will be the sole occupants of the Family Apartment at the, aforementioned address: Name &relationship to owner: r /' di Name&relationship to owner: a. The Family Apartment will be the primary year-round residence for the above'identified family members. In the event that the listed relatives,vacate'said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or'subleasing of said Family Apartment is permitted. I understand thatJam required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit andlor the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,,please explain:_ The apartment has been dismantled. The apartment,has been transferred to the Amnesty Program(Appeal No. = ) Other Sworn to under the pains and penalties of perjury this day of 2017. .- 1 afore Phone N ber' Print Named q:forms/famaffid.do c rev 11/08/12 Town of Barnstable f ------- - Regulatory Services of Richard V. Scali,'Director BUILDING DEPfi Building Division MANSTABM Paul Roma,Building Commissioner MAR O H 2017 MAM 1639. �`� 200 Main Street, H Hyannis,MA 02601 '°rEo�►r' Y -TOWN OF BARN STABLE www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 - Town of Barnstable Family Apartment Affidavit I,being on oath, depose and state as follows: MY name is �,��� Y \ D` SK I am the owner/resident of the Property located at: C.QrM Q The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: 0 2l7 �� V Name&.relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also• understand that I am required to comply with all conditions imposed by the ZBA Special Permit.. . and/or the Town of Barnstable Zoning Ordinances Section 240-4Z 1 Family Apartments. I agree_ to note the Building Commissioner immediately in the event of the sale of this property. - If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other a Sworn to under the pains and penalties of perjury this day of b (kc-,V-N 2017. Signature Phone Number, Print Name ��� � �\ q:forms/faniaffid.doc rev 11/08/12 I Town'of Barnstable Regulatory Services oF�"E rar,, Richard V. Scali, Director I� ti Building Division MUMSTAB' Thomas Perry, CBO, Building 1639. 200 Main Street, Hyannis, MA 02601 wwwaown.ba rn sta ble.m a.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state as follows: My name is PI.am the owner/resident of the property located at: 4 The following members of my family will be the sole'occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: IS Name &relationship to owner: 4 - The Family Apartment will-be-the primary year-round residence for the above-identified - family members. In the event that the listed relatives vacate said apartment,I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted.. .. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand thatjam required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree. to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: hhe apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under the pains and penalties of perjury this day of 2016. Sign ture - Phone Number Print Names�. .. e . lN�o w . _ JqN.. Fps :form/famaffd:doc rolVAIrev 11/08./12 pFeq 16 R)VSTgeCF i Town of Barnstable o� rqy, Regulatory Services Richard V. Scali,Director &UWgrABLE. = Building Division 9` A Thomas Perry, CBO, Building Commissioner En r,�r 200 Main Street, Hyannis, MA 02601 www.town.bar nsta ble.m a.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath epose and state as follows: My name is t am the owner/resident of the 1 _ -- - - - property located at: ` QW96CAJA 2� The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Name &relationship to owner: " The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing.I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the,; ilding _ <3 Commissioner listing the names and relationship of occupants in said Famlj�partment. I alsa_ understand that I am required to comply with all conditions imposed by the A 4 Special 'ermb and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Familypartments-J agr to notes the Building Commissioner immediately in the event of the sale of this properoJ�" :I- { If there is no longer a Family Apartment at this location,please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. =} Other Sworn to un er ns and pen a 'es of perjury this day of 2015. Signa Phone Number Print Name q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services oFT"E rqy, Richard V. Scali,Interim Director TOW F SAWS-Tu �^ Building Division ��LE Thomas Perry, CBO,Building Commissio rb _ r �A NAM g " �. (`� 9 200 Main Street, Hyannis, MA 02601 a www.town.barnstable.maxs Office: 508-862-4038 }/ F;a G8`=790=6230 I_ Town of Barnstable Family Apartment Affidavit I, being on oath',depose and Qstate as follows: My name is 0— I am the owner/resident of the property located at: -d4 The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: Aldk&4 Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notes the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notes the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this location,please explain: -The apartment has been dismantled. The apartment has been transferred to the Amnesty Program(Appeal No. ) Other Sworn to under t alties of perjury this d day of 1,6 2014. Signatud Phone Number Print Name ' q:forms/famaffid.doc rev 11/08/11 Town of Barnstable Regulatory Services �t►+e rqs, Thomas F. Geiler;Director ti . Building Division To WN,Q BARNMELE, Thomas Perry, CBO, Building Commissioner � r STAPI,L.E �Ar i6.19' 200 Main Street, Hyan nis, �is, MA 02601 _ p q a g ED MA'S -!.� E�t}iq www.town.barnstable.ma. s Office: 508-862-4038 R Fax: 508-790-6230 7 ,4 w ; Town of Barnstable Family Apartment Affidavit I, being on oath,depose and state as follows: My name is I am the owner/resident of the property located y .o S lie tA A is uS (1� e .6 j The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: Name &relationship to owner: R `1 i p cr, ��, a -I A 7;c� Name &relationship to owner:_�'b lJl The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives,vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. I understand that I am required to file an Afdavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree : to note the Building Commissioner immediately in the event of the sale of this property. ' If there is no longer a Family Apartment at this location, please explain: The apartment has been dismantled. The apartment has been transferred to the Amnesty Program,(Appeal No ) Other Sworn to under the.pains and penalties of perjury th' day of g 2011 Sign tore Phone Number Print Name P v q forms/fainaffiddoc rev 11/08/11 .t _ L 4 Town of Barnstable Regulatory Services oFTME o Thomas F. Geiler,Director : ; �';� >JA 1 4 Building Division MASS. Thomas Perry, CBO,Building Commissioners'V1 J �e39. �•� �sir AIFn 3 a 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us ` Office: 508-862-4038 'a Fax: 508-790-6230 Town of Barnstable Family,Apartment Affidavit I, being on oath, depose and state as follows: My name is .(� I am the owner/)��' - property located at: w The following members of my family will be the sole occupants of the Family Apartment at the aforementioned address: . Name & relationship to owner-. hhU� t Name &relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment,"I will immediately note the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted. ° I understand that I am required to file an Affidavit annually with the Building t . Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.I Family Apartments. I agree to note the Building Commissioner immediately in the event of the sale of this property. . . If there is no longer a Family Apartment at this location, please explain: {, The apartment has been dismantled. The apartment has,been transferred to the Amnesty Program'(Appeal No: ) Other Sworn to under pains and penalties of perjury this day of 2012. Signature Phone Number Print Name �' Q A r q:forms/famaffid.do c rev 11/08/11 I Town of Barnstable Regulatory Services oFt"E�yti Thomas F. Geiler,Director Building Division . ' Thomas Perry, CBO, Building Commissioner �16 j�a`°� 200 Main Street, Hyannis,MA 02601 . www.tow n.b a r nst a b le,m a.us Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit 1, being on oath, depose and state as follows: My name is'2i 4 gAo Oay- "(ona I am the owner,Iresident of the property located at: l p The following members of my family will be the sole occupants of.the Family Apartment atcNthe aforementioned address: "? Name & relationship to owner: — co Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, 1 will immediately note the-Building Commissioner in writing, 1 understand that no subletting or subleasing ofsaid Family Apartment is permitted, I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand thai I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.I Family Apartments. I agree to notify the Building Commissioner immediately in the event of the sale of this property. If there is no longer a Family Apartment at this.location, please explain. The apartment has been dismantled:The,apartment has been transferred to the Amnesty Program (Appeal No. ) . Other Sworn t un er the pains and penalties of pequry this day of 2011_ Si Phone Number Print Name (Yx' 6-d 6£E69LL809 euopae0 d9L:vn LL qn Town of]Barnstable ? Regulatory Services °FTHe toyer Thomas F.Geiler,Director Mft OF ,jr)j Building Division 9aaeivsTnstE,g Tom Perry, Building Commissioner ?f MASS. 3 . At 8: 1639. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us DIVISION Office: 508-862-4038 Fax: 508-790-6230 Town of Barnstable Family Apartment Affidavit I, being on oath, depose and state-as follows: L'L ��.© �,�0/1V /V r j /_Ot ct, I IV v S -C, My name is `-1 I am the owner/resident of the ` a property located at: lQ- > AA 4A .The following members of my family will be the Ysole occupants of the Family Apartment at the aforementioned address: Name&relationship to owner: p�C 4 Name & relationship to owner: The Family Apartment will be the primary year-round residence for the above-identified family members. In the event that the listed relatives vacate said apartment, I will immediately notify the Building Commissioner in writing. I understand that no subletting or subleasing of said Family Apartment is permitted: I understand that I am required to file an Affidavit annually with the Building Commissioner listing the names and relationship of occupants in said Family Apartment. I also understand that I am required to comply with all conditions imposed by the ZBA Special Permit and/or the Town of Barnstable Zoning Ordinances Section 240-47.1 Family Apartments. I agree to notify the Building Uommissioner imnedialeiy in the eveni of the sale of this property' If there is no longer a Family Apartment at this location, please explain:' The apartment has been dismantled: The apartment has been transferred to the Amnesty Program (Appeal No. ) Other Sworn to under the pains and penalties of perjury this 'a 1 day of 4Yhone 010. Sign ture Number ' Print Name ' mql } Q/bldg/forms/famaffid "Notary Publij � Rev.:12/08 ° Mairead M.Gra -, k Commonwealth of Massa My Commission Expires on Nov �t r Town of Barnstme Regulatory Services HARN91PA13M Thomas F. Geiler,Director y Mass. Q3pr 1639• a,�� Building Division ED MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We), the undersigned, being the owner(s) of property situated at 16 ANTHONY DRIVE, HYANNIS, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book, , Page , or as Document No. , being shown on Assessors' Map 272 as Parcel 002003, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for PHYLLIS�HUFFAM, MOTHER OF OWNER, BILLIEJO CARDONA HUFFAM, associated with the residential use on the same premises. This unit shall be used for a y "Family Apartment"(as defined in Zoning Ordinances) which would require compliance with the Family Apartment Jh' Rules and Regulations. This unit shall not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with.the building department. \� This agreement shall be updated whenever a change occurs"or every calendar year. `V This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land j/ Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use `) of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. —7 WITNESS our hands and seals this 17 day of 2006 . TOWN OF BARNSTABLE OWNERS By; �S -LI Building Commissioner ),____ THE COMMONWEALTH OF.MASSACHUSETT BARNSTABLE COUNTY, SS Date Then personally appeared the above-named (owner (a-edb >_G and made oath as to the truth of the foregoing instrument, before me. T�Mary Public My Commission Expires: F#CCjMOURTNEY R.CHAMBERLAIN NOTARY PUBLIC monwealth of Massachusetts y Commission Expires July 19, 2013 AnthonyDr16 91816 6 ro,,A. -er:3 �tHE Town ,of BarnstaDie ,t Regulatory Services BAMSTABIZ Thomas F.Geiler,Director MASS, A,�� Building Division .. ArEO PAP' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I(We);the undersigned, being the owner(s) of property situated at 16 ANTHONY DRIVE, HYANNIS, MA, holding title under a deed recorded with the Barnstable County Registry of Deeds or Barnstable County District Registry of the Land Court in Book, Page , or as Document No. , being shown on Assessors' Map 272 as Parcel 002003, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment, for year-round occupancy. The intended and authorized use is for PHYLLIS HUFFAM, MOTHER OF OWNER, BILLIEJO CARDONA HUFFAM, associated with the residential use on the same premises. This unit shall be used for a ":'Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. This unit shall g sal not be rented as an apartment or as a single room, or in any fashion, which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. \I This agreement shall be updated whenever a change occurs or every calendar year. Y This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land j� Court for the purpose of alerting future owners of the property.of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. -77�'1 WITNESS our hands and seals this 17 day of 2006 . TOWN OF BARNSTABLE OWNERS By: Building Commissioner //ll THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE COUNTY,SS Date (Q 1 V Then personally appeared the above-named (owner), / 1 e,in 6xeAJ&V1Ct and made oath as to the truth of the foregoing instrument,before me. ����1l�ttl ary Pu lic """�"• � My Commission Expires: COURTNEY R.CHAMBERLAIN NOTARY PUBLIC �t Commonwealth of Massachusetts L I NRF My Commission Expires July 19, 2013 Anthonyl)0 6 - MAftUEST N 76o5g '5 5" 93•O0' AM LOT 3 sa, L�� Y- 272-002-003 s s 13661 .6 SQ. FT. , 0.3 ACRES 6 4.2 f t Gntw� W ,, - - - G 2008 MvoL,Dt 1w, r -M am S2008NAYTE Tlk t. N° F o LOCUS MAP o LOT 2 w `� PLAN REF 475-38 DEED REF 12534-277 `j•5 f t ZONING: "RH & RAH" W SETBACKS: 30'-15'15' FLOOD ZONE: »C" PANEL NUMBER: 250001 0005 C DECK �� DATED.• 08-19-85 /PROPOSED GARAGE _____= z LOT 4 PLOT PLAN OF LAND / __=EXISTING__=__— LOCATED AT.• _-_'H O u S E__= 16 ANTHONY DRIVE ----_-_____=_- HYANNIS, MA. DRIVEWAY 23.8ft" PREPARED FOR.• BILLIE JO CARDONA-HUFFAN �Uj°� v►a��� OF�ta,4SSg4.® MAY 07, 2008 77. 1 � o STE?HEN p N REV REV REV A N T H 0 NY YANKEE LAND SURVEYORS & CONSULTANTS P.0. BOX 265 D I V L=2 O.O UNIT 1, 40 INDUSTRY ROAD R=8 g . 6' MARSTONS MILLS, MA 02648 TEL• 508-428-0055 FAX 508-420-5553 SHEET 1 OF 1 JOB #• 54377 JF